Surgery Illustrated – Surgical Atlas Robotic radical cystectomy in the male

Buffi, Nicolò Maria; Mottrie, Alexandre; Lughezzani, Giovanni; Koliakos, Nikos; Schatteman, Peter; Carpentier, Paul; Fonteyne, Etyenne

doi:10.1111/j.1464-410x.2009.08783.x

Cited by 20 publications

(9 citation statements)

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“…After adequate positioning 10 of the patient, the abdominal cavity was insufflated with CO 2 to a pressure of 10 mm Hg, and the patient was placed in the mild Trendelenburg position after which the trocars were located. 12 Finally, the patients were slowly placed in the steep Trendelenburg position (408 from horizontal). All operations were performed on the same table with the same degree of Trendelenburg.…”

Section: Methodsmentioning

confidence: 99%

Cerebral haemodynamic physiology during steep Trendelenburg position and CO2 pneumoperitoneum

Kalmar

Dewaele

Foubert

et al. 2012

British Journal of Anaesthesia

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Section: Methodsmentioning

confidence: 99%

Cerebral haemodynamic physiology during steep Trendelenburg position and CO2 pneumoperitoneum

Kalmar

Dewaele

Foubert

et al. 2012

British Journal of Anaesthesia

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“…Normothermia (about 36℃) was maintained using a forced-air warming system. The abdominal cavity was insufflated with CO 2 gas at a pressure of 15 mmHg, and the trocar and cannulae were located at the classical points [9] in the supine position. Each patient was slowly moved into a steep Trendelenburg position (30° from horizontal; the maximal angle allowed by the operating table).…”

Section: Methodsmentioning

confidence: 99%

Arterial to end-tidal carbon dioxide pressure gradient increases with age in the steep Trendelenburg position with pneumoperitoneum

Choi

Lee

Hwang

2012

Korean J Anesthesiol

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BackgroundSeveral factors affect the end-tidal carbon dioxide pressure (PETCO2) and increase the arterial to end-tidal carbon dioxide pressure gradient (Pa-ETCO2) during general anesthesia. We evaluated the relationship between age and Pa-ETCO2 during pneumoperitoneum in the steep Trendelenburg position in patients undergoing robot-assisted laparoscopic prostatectomy (RALP).MethodsNinety-two consecutive patients undergoing RALP were divided by age into a middle-aged (45-65 years) and an elderly (> 65 years) group. Anesthesia was standardized. Heart rate, mean arterial pressure, peak inspiratory pressure, lung compliance, minute ventilation, PaO2, PETCO2, PaCO2, and Pa-ETCO2 were measured 10 min after intubation in the supine position without pneumoperitoneum (T0); and 10 (T1), 60 (T2), and 120 (T3) min after pneumoperitoneum in the Trendelenburg position.ResultsAlthough PETCO2 did not change significantly during surgery, PaCO2 and Pa-ETCO2 increased gradually with time during pneumoperitoneum in the Trendelenburg position, and both parameters showed greater increases in the elderly than in the middle-aged group. Simple linear regression analyses revealed significant correlations between age and Pa-ETCO2 at T0 (P = 0.018), T1 (P = 0.006), T2 (P < 0.001), and T3 (P = 0.001). Linear mixed model analysis showed that Pa-ETCO2 was associated statistically significantly with age and duration of pneumoperitoneum in the Trendelenburg position, but age and duration of pneumoperitoneum in the Trendelenburg position were not associated (P = 0.090).ConclusionsThe magnitude of Pa-ETCO2 during pneumoperitoneum in the steep Trendelenburg position increased with age, which could be attributed to age-related respiratory physiological changes.

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“…Subsequently, the abdominal cavity was insufflated with CO 2 to a pressure of 10 mm Hg, and the patient was placed in the mild Trendelenburg position after which the trocar cannulae were located at the classical points. 9 Finally, the patients were slowly placed in the steep Trendelenburg position (408 from horizontal, the maximal angle the surgical table allows for). The start time of the maximal Trendelenburg position was defined as T 0 .…”

Section: Methodsmentioning

confidence: 99%

20 The influence of steep Trendelenburg position and CO2 pneumoperitoneum on cardiovascular, cerebrovascular and respiratory homeostasis during robotic prostatectomy

Kalmar¹,

Naeyer²,

Foubert³

et al. 2010

European Urology Supplements

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Surgery Illustrated – Surgical Atlas Robotic radical cystectomy in the male

Cited by 20 publications

References 0 publications

Cerebral haemodynamic physiology during steep Trendelenburg position and CO2 pneumoperitoneum

Cerebral haemodynamic physiology during steep Trendelenburg position and CO2 pneumoperitoneum

Arterial to end-tidal carbon dioxide pressure gradient increases with age in the steep Trendelenburg position with pneumoperitoneum

20 The influence of steep Trendelenburg position and CO2 pneumoperitoneum on cardiovascular, cerebrovascular and respiratory homeostasis during robotic prostatectomy

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