2019, Número 1
<< Anterior Siguiente >>
Rev Mex Anest 2019; 42 (1)
Cambios fisiológicos y consideraciones anestésicas en cirugía robótica no cardíaca
de la Cajiga-León A, Jiménez-Ramos A, Olivares-Mendoza H
Idioma: Español
Referencias bibliográficas: 21
Paginas: 62-67
Archivo PDF: 274.81 Kb.
RESUMEN
La cirugía robótica ofrece numerosas ventajas sobre la cirugía laparoscópica convencional y la cirugía abierta. El anestesiólogo debe conocer los cambios que suceden en el paciente al ser sometido a cirugía robótica en el campo de la ginecología, urología, cirugía general, torácica y transoral. Los cambios fisiológicos son múltiples e involucran todos los sistemas: cardiovascular, respiratorio, neurológico, digestivo, renal; por lo que es de suma importancia el conocimiento de éstos para evitar complicaciones durante el período perioperatorio. De igual manera, es importante conocer el protocolo de seguridad para el retiro de los brazos del robot al verse con la necesidad de convertir la cirugía a laparoscópica o abierta. Se resumen las principales consideraciones anestésicas así como los cuidados específicos que el anestesiólogo debe tener durante cirugía robótica no cardíaca.
REFERENCIAS (EN ESTE ARTÍCULO)
Sullivan MJ, Frost EAM, Lew MW. Anesthetic care of the patient for robotic surgery. Middle East J Anesthesiol. 2008;19:967-980.
Lee JR. Anesthetic considerations for robotic surgery. Korean J Anesthesiol. 2014;66:3-11.
Vasdev N, Kuk-Poon AS, Gowrie-Mohan S, Lane T, Boustead G, Hanbury D, et al. The physiologic and anesthetic considerations in elderly patients undergoing robotic renal surgery. Rev Urol. 2014;16:1-9.
Kim MS, Bai SJ, Lee JR, Choi YD, Kim YJ, Choi SH. Increase in intracranial pressure during carbon dioxide pneumoperitoneum with steep trendelenburg positioning proven by ultrasonographic measurement of optic nerve sheath diameter. J Endourol. 2014;28:801-806.
Robba C, Cardim D, Donnelly J, Bertuccio A, Bacigaluppi S, Bragazzi N, et al. Effects of pneumoperitoneum and Trendelenburg position on intracranial pressure assessed using different non-invasive methods. Br J Anaesth. 2016;117:783-791.
Rosendal C, Markin S, Hien MD, Motsch J, Roggenbach J. Cardiac and hemodynamic consequences during capnoperitoneum and steep Trendelenburg positioning: lessons learned from robot-assisted laparoscopic prostatectomy. J Clin Anesth. 2014;26:383-389.
Borahay MA, Patel, PR, Walsh TM, Tarnal V, Koutrouvelis A, Vizzeri G, et al. Intraocular pressure and steep Trendelenburg during minimally invasive gynecologic surgery: is there a risk? J Minim Invasive Gynecol. 2013;20:819-824.
McLarney JT, Rose GL. Anesthetic implications of robotic gynecologic surgery. J Gynecol Endosc Surg. 2011;2:75-78.
Kilic OF, Börgers A, Köhne W, Musch M, Kröpfl D, Groeben H. Effects of steep Trendelenburg position for robotic-assisted prostatectomies on intra- and extrathoracic airways in patients with or without chronic obstructive pulmonary disease. Br J Anaesth. 2015;114:70-76.
Gupta K, Mehta Y, Sarin Jolly A, Khanna S. Anaesthesia for robotic gynaecological surgery. Anaesth Intensive Care. 2012;40:614-621.
Kalmar AF, Foubert L, Hendrickx JF, Mottrie, Absalom A, Mortier EP, et al. Influence of steep Trendelenburg position and CO2 pneumoperitoneum on cardiovascular, cerebrovascular, and respiratory homeostasis during robotic prostatectomy. Br J Anaesth. 2010;104:433-439.
Saito J, Noguchi S, Matsumoto A, Jinushi K, Kasai T, Kudo T, et al. Impact of robot-assisted laparoscopic prostatectomy on the management of general anesthesia: efficacy of blood withdrawal during a steep Trendelenburg position. J Anesth. 2015;29:487-491.
Doe A, Kumagai M, Tamura Y, Sakai A, Suzuki K. A comparative analysis of the effects of sevoflurane and propofol on cerebral oxygenation during steep Trendelenburg position and pneumoperitoneum for robotic-assisted laparoscopic prostatectomy. J Anesth. 2016;30:949-955.
Matute-Miranda J, Vivallo-Oñate N, Salazar-Ceballos G. Ecografía ocular en Unidades Críticas y en Servicios de Urgencia: utilidad en casos de hipertensión intracraneana. Revista Chilena de Medicina Intensiva. 2015;30:38-42.
Gainsburg DM. Anesthetic concerns for robotic-assisted laparoscopic radical prostatectomy. Minerva Anestesiol. 2012;78:96-604.
Steenwyk B, Lyerly R 3rd. Advancements in robotic-assisted thoracic surgery. Anesthesiol Clin. 2012;30:699-708.
O’Sullivan OE, O’Sullivan S, Hewitt M, O’Reilly BA. Da Vinci robot emergency undocking protocol. J Robotic Surg. 2016;10:251-253.
Zattoni F, Morlacco A, Cattaneo F, Soligo M, Leggiato L, Modonutti D, et al. Development of a surgical safety training program and checklist for conversion during robotic partial nephrectomies. Urology. 2017;109:38-43.
Zattoni F, Guttilla A, Crestani A, De Gobbi A, Cattaneo F, Moschini M, et al. The value of open conversion simulations during robot-assisted radical prostatectomy: implications for robotic training curricula. J Endourol. 2015;29:1282-1288.
Garg T, Bazzi WM, Silberstein JL, Abu-Rustum N, Leitao MM Jr, Laudone VP. Improving safety in robotic surgery: intraoperative crisis checklist. J Surg Oncol. 2013;108:139-140.
Huser AS, Müller D, Brunkhorst V, Kannisto P, Musch M, Kröpfl D, et al. Simulated life-threatening emergency during robot-assisted surgery. J Endourol. 2014;28:717-721.