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2021, Number 3

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Rev Mex Anest 2021; 44 (3)

Impact of intravenous anesthesia in robotic surgery for high-risk patient undergoing long-term oncologic surgery at the Naval Medical Center

Guadarrama-Bustamante V, Díaz-Ponce-Medrano JA, Buenfil-Medina JC, Orozco-Lara JC, Antonio-Figueroa VM, Villeda-Sandoval CI, Villaseñor-Santiago VH, Muñoz-Cuevas JH

Language: Spanish
References: 22
Page: 215-224
PDF size: 399.18 Kb.


ABSTRACT

The practice of robotic surgery is a complex process, involving development and technology; not only in the surgery field but also in the anesthesiology field. It implies a multifactorial process since it has generated a drastic multidisciplinary change based on state-of-the-art technology; which aims to offer better conditions during perioperative management in robotic surgery. Intravenous Total Anesthesia accomplishes specific objectives in relation to patient position, brain relaxation, neuroprotection, hemodynamics, loss and recovery of consciousness, neuromuscular paralysis, ventilatory parameters, providing safety and quality during the procedure; with minimal intervention during electrophysiological monitoring and enabling anesthetic depth to be modulated from neurosedation to general anesthesia, according to the different stages of the surgery. A factor attributable to modern anesthesia for robotic surgery success is to employ different anesthetic agents promoting induction, maintenance of general anesthesia, smother and faster anesthetic emersion, for the purpose of reducing recovery time of the state of consciousness), basic and psychomotor functions; as is the general multimodal anesthesia.


REFERENCES

  1. Global Cancer Observatory (GCO), Globocan, populations Facts Shets; México.

  2. Modi PK, Hollenbeck BK, Oerline M, Weizer AZ, Montgomery JS, Kaffenberger SD, et al. Real-world impact of minimally invasive versus open radical cystectomy on perioperative outcomes and spending. Urology. 2019;125:86-91.

  3. Lestar M, Gunnarsson L, Lagerstrand L, Wiklund P, Odeberg-Wernerman S. Hemodynamic perturbations during robot-assisted laparoscopic radical prostatectomy in 45 degrees Trendelenburg position. Anesth Analg. 2011;113:1069-1075.

  4. Saito J, Noguchi S, Matsumoto A, Jinushi K, Kasai T, Kudo T. 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.

  5. Shetty RM, Bellini A, Wijayatilake DS, Hamilton MA, Jain R, Karanth S, Namachivayam A. BIS monitoring versus clinical assessment for sedation in mechanically ventilated adults in the intensive care unit and its impact on clinical outcomes and resource utilization. Cochrane Database of Systematic Reviews. 2018;2:CD011240. doi: 10.1002/14651858.CD011240.pub.

  6. Yoshitani K, Kawaguchi M, Ishida K, Maekawa K, Miyawaki H, Tanaka S, et al. Guidelines for the use of cerebral oximetry by near-infrared spectroscopy in cardiovascular anesthesia: a report by the cerebrospinal Division of the Academic Committee of the Japanese Society of cardiovascular Anesthesiologists (JSCVA). J Anesth. 2019;33:167-196.

  7. Martin BJ, Buth KJ, Arora RC, Baskett RJ. Delirium: a cause for concern beyond the immediate postoperative period. Ann Thorac Surg. 2012;93:1114-1120.

  8. Veiga RJ, García CJ, Orozco MM, Parreño CB, García RJ, Aguayo AJ. Monitoring intraoperative neuromuscular blockade and blood pressure with one device (TOF-Cuff): A comparative study with mechanomyography and invasive blood pressure. Rev Esp Anestesiol Reanim. 2017;64:560-567. doi: 10.1016/j.redar.2017.03.013.

  9. Schoen J, Husemann L, Tiemayer C, Lueloh A, Sedemend-ADIB B, Berger KU, Hueppe M, et al. Cognitive function after sevoflurane-vs propofol –based anaesthesia for on-pump cardiac surgery: a randomized controlled trial. Br J Anaesth. 2011;106:840-850.

  10. Li R, Liu H, James P. Dilger, Jun Lin. Effect of propofol on breast cancer cell, the. immune system, and patient outcome. BMC Anesthesiol. 2018;18:18-77.

  11. Ciechanowicz SJ, Ma D. Anaesthesia for oncological surgery – can it really influence cancer recurrence? Anaesthesia. 2016;71:127-131. Available in: https://doi.org/10.1111/anae.13342.

  12. Zheng X, Wang Y, Dong L, Zhao S, Wang L, Chen H, et al. Effects of propofol-based total intravenous anesthesia on gastric cancer: a retrospective study. Oncotargets and therapy. Onco Targets Ther. 2018;11:1141-1148. Available in: http://dx.doi.org/10.2147/ott.s156792.

  13. Bonilla CL, Pérez HMA, Torrent A. Efectos de la anestesia en la cirugía oncológica. Rev Anestesiar. 2017;31:21-26.

  14. Liang H, Yang CX, Zhang B, Wang HB, Liu HZ, Lai XH. Sevoflurane suppresses hypoxia-induced growth and metastasis of lung cancer cells via inhibiting hypoxia-inducible factor-1α. J Anesth. 2015;29:821-830.

  15. Heaney A, Buggy DJ, Can anaesthetic and analgesic techniques affect cancer recurrence or metástasis. Br J Anaesth. 2012;109:i17-i28.

  16. Yardeni IZ, Beilin B, Mayburd E, Alcalay Y, Bessler H. Relationship between fentanyl dosage and inmune function in the postoperative period. J Opioid Manag. 2008;4:27-33.

  17. Kim S Y. Effects of postoperative pain management on Immune function after laparoscopic resection of colorectal cancer. Medicine (Baltimore). 2016;95:e3602.

  18. Wang K, Li C. Efectos de la dexmedetomidina sobre factores inflamatorios, subconjuntos de linfocitos T y expresión de NF-κB en células mononucleares de sangre periférica en pacientes sometidos a cirugía radical de carcinoma de colon. Oncol Lett. 2018;15:7153-7155.

  19. Alday ME, Uña OR, Redondo CF, Criado JA. Magnesio en anestesia y reanimación. Rev Esp Anestesiol Reanim. 2005;52:222-234.

  20. Votta-Velis E, Piegeler T, Minshall R, Aguirre J, Beck-Schimmer B, Schwartz D, et al. Regional anaesthesia and cancer metastases: the implication of local anaesthetics. Acta Anaesthesiol Scand. 2013;57:1211-1229. Available in: http://dx.doi.org/ 10.1111/aas.12210.

  21. Fraser S, Foo I, Djamgoz M. Local anaesthetic use in cancer surgery and disease recurrence: role of voltage-gated sodium channels? Br J Anaesth. 2014;113:899-902. Available in: http://dx.doi.org/ 10.1093/bja/aeu221.

  22. Piegeler T, Votta-Velis EG, Liu G, Place AT, Schwartz DE, Beck-Schimmer B, et al. Antimetastatic potential of amide-linked local anesthetics: Inhibition of lung adenocarcinoma cell migration and inflammatory Src signaling independent of sodium channel blockade. Anesthesiology. 2012;117:548-559.




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