[Anaesthesia for urological surgery - Anaesthesia for robotic assisted prostatectomies].
Because of excellent results, high patient satisfaction, and extraordinary surgical conditions robotic assisted prostatectomies have found a wide spread acceptance. Trendelenburg positioning, CO2-Insufflation, and installation of the robot system cause moderate hemodynamic and respiratory changes. Respiration can be compromised by significantly reduced pulmonary compliance during surgery and a marked CO2 load. Therefore, arterial blood gas controls during surgery can be recommended. Over hours edema of head and neck including the upper airways and an increase of the intraocular pressure can develop. There are no restrictions in the choice of the anesthetics. Careful positioning of the patient and critical intravenous fluid management are important determinants of a successful anesthetic management.
Klinik für Anästhesiologie, Intensiv- und Schmerztherapie, Klinken Essen-Mitte. a.boergers@kliniken-essen-mitte.de
André
A
Börgers
Violeta
V
Brunkhorst
Harald
H
Groeben
D000328:Adult; D000368:Aged; D000758:Anesthesia / Q000379:methods*; D002560:Cerebrovascular Circulation; D003161:Compartment Syndromes / Q000628:therapy; D018475:Head-Down Tilt; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000188:drug therapy; D011183:Postoperative Complications / Q000628:therapy; D011468:Prostatectomy / Q000379:methods*; D012143:Respiratory Physiological Phenomena; D012371:Robotics