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Current Anesthesiology Reports

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Open Access 01-12-2021 | Thoracic Anesthesia (AM Bergmann, Section Editor)

Special Anesthesiologic Considerations in Robot-Assisted Thoracic Surgery

Authors: Christoph Niklas, Bastian Fakundiny, Anton Popov, Thorsten Walles

Published in: Current Anesthesiology Reports | Issue 4/2021

Abstract

Purpose of Review

This review summarizes the key issues for preoperative, peri- and intraoperative, and postoperative patient management for robotic-assisted thoracic surgery (RATS). It provides practical guidance for anesthesiologists and thoracic surgeons starting a RATS program.

Recent Findings

RATS is a new technological approach to execute minimal invasive chest operations. In management of RATS patients, the established ERAS principles for video-assisted thoracoscopic surgery (VATS) apply. In addition, RATS imposes additional conditions on anesthesiologists, nurses, and surgeons alike: The spatial constriction in operation theaters caused by the large robotic equipment longs for a reallocation of the anesthetist’s and surgeon’s working environment that may vary additionally depending on the type of surgery performed in the individual patient. Additionally, the implementation of a positive pressure carbon dioxide gas cavity in the pleura has a direct effect on patient cardio-circulatory and respiratory mechanics that have to be balanced by the anesthesiologist.

Summary

RATS advances by replacing open surgery approaches and will complement—but most likely not replace—video-assisted thoracoscopic surgery (VATS). RATS brings new specific intraoperative requirements to the anesthesiological and surgical team members that have to be implemented into clinical routine.

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Title: Special Anesthesiologic Considerations in Robot-Assisted Thoracic Surgery
Authors: Christoph Niklas
Bastian Fakundiny
Anton Popov
Thorsten Walles
Publication date: 01-12-2021
Publisher: Springer US
Published in: Current Anesthesiology Reports / Issue 4/2021
Electronic ISSN: 2167-6275
DOI: https://doi.org/10.1007/s40140-021-00471-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Special Anesthesiologic Considerations in Robot-Assisted Thoracic Surgery

Abstract

Purpose of Review

Recent Findings

Summary

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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