title: Anesthetic management of robotically assisted totally endoscopic coronary artery bypass surgery (TECAB).
abstract: Over the last decade, TECAB has matured into a reproducible technique associated with low incidence of both mortality and morbidity, as well as superior quality of life, when compared with open CABG surgery. However, TECAB also is associated with important and specific challenges for the anesthesiology team, particularly with regard to the physiologic stresses of OLV, placement of special catheters, and induced capnothorax. As the technology supporting robotic surgery evolves and familiarity with, and confidence in, TECAB increases, the authors anticipate increasingly widespread use of these procedures in an increasingly fragile and problematic patient population who will require the support of a skilled and vigilant anesthesiology team.
authors.affiliation: Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
authors.forename: Seema P
authors.initials: SP
authors.lastname: Deshpande
authors.forename: Eric
authors.initials: E
authors.lastname: Lehr
authors.forename: Patrick
authors.initials: P
authors.lastname: Odonkor
authors.forename: Johannes O
authors.initials: JO
authors.lastname: Bonatti
authors.forename: Maudy
authors.initials: M
authors.lastname: Kalangie
authors.forename: David A
authors.initials: DA
authors.lastname: Zimrin
authors.forename: Alina M
authors.initials: AM
authors.lastname: Grigore
mesh_terms: D000758:Anesthesia; D006348:Cardiac Surgical Procedures / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D003324:Coronary Artery Disease / Q000601:surgery; D004724:Endoscopy / Q000191:economics / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy; D016343:Monitoring, Intraoperative; D061810:One-Lung Ventilation; D011300:Preoperative Care; D012371:Robotics / Q000191:economics / Q000295:instrumentation; D016896:Treatment Outcome