INITIAL ANESTHETIC EXPERIENCE IN ROBOTIC CARDIAC SURGERY: CASE SERIES FROM A TERTIARY CARE CENTRE IN INDIA
Keywords:
Cardiac surgery, minimally invasive, one lung ventilation, Robot assisted surgery.Abstract
One of the most recent developments in surgical practice is minimal invasive robotic surgery. Use of surgical robot facilitates less invasive surgery. This approach to cardiac surgery offers numerous potential advantages to the patient including reduced pain, shorter hospital stay and a quicker return to the day to day activity. Robotic surgery require anesthesia personnel to incorporate various subspecialty skills to improve patient outcome. In the era of minimally invasive surgery and rising popularity of robotic cardiac surgeries it is imperative for the cardiac anesthesiologist to be well versed with the various robotic systems and associated complications, expertise in transesophageal echocardiography(TEE) and mastering and management of lung isolation techniques. This is a case series which serves to explain some of the anesthetic challenges which were encountered during the commencement of robot-assisted cardiac surgeries
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References
Carpentier A, Loulmet D, Aupècle B et al.Computer assisted open heart surgery. First case operated on with success. C R Acad Sci III 1998;321:437-442.
DeRose JJ, Ashton RC, Belsley S, Swistel DG, Vloka M, Ehlert F, et al. Robotically assisted left ventricular epicardial lead implantation for biventricular pacing. J Am Coll Cardiol. 2003;41:1414-9.
Mohamed A, Shehada SE, Brakel LV, Ruhparwar A, Hochreiter M, Berger MM, et al. Anesthetic management during robotic-assisted minimal invasive thymectomy using Da Vinci system. A single center experience. J Clin Med. 2022;11:4274.
Bonaros N, Schachner T, Wiedemann D, Oehlinger A, Ruetzler E, Feuchtner G, et al. Quality of life improvements after robotically assisted coronary artery bypass grafting. Cardiology. 2009;114:59-66.
Rehfeldt KH, Mauermann WJ, Burkhart HM, et al. Robot-assisted mitral valve repair. J Cardiothorac Vasc Anesth. 2011;25:721-30.
Klingstedt C, Baehrendtz S, Bindslev L, Hedenstierna G. Lung and chest wall mechanics during differential ventilation and with selective PEEP. Acta Anaesthesiol Scand. 1985;29:716-21.
Chauhan S, Sukesan S. Anesthesia for robotic cardiac surgery. An amalgam of technology and skill. Ann Card Anaesth. 2010;13:169-175.
Liu TJ, Shih MS, Lee WL, et al. Hypoxemia during one- lung ventilation for robot-assisted coronary artery bypass graft surgery. Ann Thorac Surg. 2013;96:127-32.
Deshpande SP, Lehr E, Odonkor P, Bonatti JO, Kalangie M, Zimrin DA, et al. Anesthetic management of robotically assisted totally endoscopic coronary artery bypass surgery (TECAB). J Cardiothorac Vasc Anesth 2013;27:586-99.
Baraka A. Differential lung ventilation as an alternative to one- lung ventilation during thoracotomy. Report of three cases. Anaesthesia. 1994;49:881-882.
Kiaii B, Bainbridge D, Fernandes P. Surgical, anesthetic, perfusion-related advances in minimal access surgery. Semin Cardiothorac Vasc Anesth 2007;11:282-7.
Hong JY, Kim JY, Choi YD, Rha KH, Yoon SJ, Kil HK.Incidence of venous gas embolism during Robotic-Assisted Laparoscopic radical prostatectomy is lower than that during radical retropubic prostatectomy. Br J Anaesth. 2010;105:777-781.
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Copyright (c) 2025 PRIYANKA GUPTA, SHAILLY KUMAR, UDISMITA BARUAH, Ira Balakrishnan M
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