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机器人泌尿外科手术麻醉的挑战及应对:全面指南。

Navigating challenges in anesthesia for robotic urological surgery: a comprehensive guide.

机构信息

Anesthesiology Department, Hospital Medica Sur, Puente de Piedra 150, Toriello Guerra Tlalpan, Ciudad de México, CDMX, 14050, Mexico, Mexico.

Translational Research Unit, Medica Sur Clinic & Foundation, Puente de Piedra 150, Toriello Guerra Tlalpan, 14050, Mexico, Mexico.

出版信息

J Robot Surg. 2024 Jul 29;18(1):300. doi: 10.1007/s11701-024-02055-w.

DOI:10.1007/s11701-024-02055-w
PMID:39073629
Abstract

Robotic surgery has emerged as a cornerstone in urological interventions, offering effectiveness and safety for patients. For anesthesiologists, this technological advancement presents a myriad of new challenges, spanning from patient selection and assessment to intraoperative dynamics and post-surgical pain management. This article aims to elucidate these challenges and provide guidance for anesthesiologists in navigating the complexities of anesthesia administration in robotic urological procedures. Through a detailed exploration of patient optimization, team coordination, intraoperative adjustments, and post-surgical care, this article serves as a valuable resource for ensuring the success of such interventions.

摘要

机器人手术已成为泌尿外科介入治疗的基石,为患者提供了有效性和安全性。对于麻醉师来说,这项技术进步带来了无数新的挑战,涵盖了从患者选择和评估到手术室内动态和术后疼痛管理的各个方面。本文旨在阐明这些挑战,并为麻醉师在机器人泌尿外科手术中处理麻醉管理的复杂性提供指导。通过详细探讨患者优化、团队协作、手术室内调整和术后护理,本文为确保此类干预的成功提供了有价值的资源。

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Turk J Anaesthesiol Reanim. 2024 May 3;52(2):39-48. doi: 10.4274/TJAR.2023.231315.
2
Ventilation strategy during urological and gynaecological robotic-assisted surgery: a narrative review.泌尿外科和妇科机器人辅助手术中的通气策略:叙事性综述。
Br J Anaesth. 2023 Oct;131(4):764-774. doi: 10.1016/j.bja.2023.06.066. Epub 2023 Aug 3.
3
Anaesthetic management of robot-assisted laparoscopic surgery.机器人辅助腹腔镜手术的麻醉管理
Indian J Anaesth. 2023 Jan;67(1):117-122. doi: 10.4103/ija.ija_966_22. Epub 2023 Jan 21.
4
ANESTHESIA FOR ROBOT-ASSISTED RADICAL PROSTATECTOMY - A CHALLENGE FOR ANAESTHESIOLOGIST.机器人辅助根治性前列腺切除术的麻醉——对麻醉师的挑战。
Acta Clin Croat. 2022 Oct;61(Suppl 3):76-80. doi: 10.20471/acc.2022.61.s3.11.
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2023 American Society of Anesthesiologists Practice Guidelines for Monitoring and Antagonism of Neuromuscular Blockade: A Report by the American Society of Anesthesiologists Task Force on Neuromuscular Blockade.2023 年美国麻醉医师学会监测和拮抗神经肌肉阻滞指南:美国麻醉医师学会神经肌肉阻滞工作组的报告。
Anesthesiology. 2023 Jan 1;138(1):13-41. doi: 10.1097/ALN.0000000000004379.
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BMC Anesthesiol. 2022 Nov 21;22(1):356. doi: 10.1186/s12871-022-01900-5.
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