title: Anesthetic concerns for robotic-assisted laparoscopic radical prostatectomy.
abstract: The anesthetic concerns of patients undergoing robotic-assisted laparoscopic radical prostatectomy (RALP) are primarily related to the use of pneumoperitoneum in the steep Trendelenburg position. This combination will affect cerebrovascular, respiratory and hemodynamic homeostasis. Possible non-surgical complications range from mild subcutaneous emphysema to devastating ischemic optic neuropathy. The anesthetic management of RALP patients involves a thorough preoperative evaluation, careful positioning on the operative table, managing ventilation issues, and appropriate fluid management. Close coordination between the anesthesia and surgical teams is required for a successful surgery. This review will discuss the anesthetic concerns and perioperative management of patients presenting for RALP.
authors.affiliation: Departments of Anesthesiology and Urology, The Mount Sinai Medical Center, New York, NY 10029, USA. daniel.gainsburg@mountsinai.org
authors.forename: D M
authors.initials: DM
authors.lastname: Gainsburg
mesh_terms: D000758:Anesthesia; D006801:Humans; D010535:Laparoscopy; D008297:Male; D056888:Patient Positioning / Q000009:adverse effects / Q000379:methods; D019990:Perioperative Care; D011027:Pneumoperitoneum / Q000209:etiology / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control; D011468:Prostatectomy / Q000379:methods; D012307:Risk Factors; D012371:Robotics