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Anesthetic Considerations for Robotic Surgery in the Steep Trendelenburg Position
Advances in Anesthesia, 2012PPandsteepTrendelenburg position during general anesthesia. Although individual responses vary and should be monitored, effects on mostorgans are modest and should not be an obstacle to providing optimal surgicalexposure during robot-assisted prostatectomy, cystectomy, or hysterectomy.
André M de Wolf
exaly +2 more sources
International Journal of Medical Robotics and Computer Assisted Surgery, 2011
AbstractBackgroundRobotic‐assisted laparoscopic prostatectomy (RALP) is usually performed in steep Trendelenburg position, which can be associated with cardiac impairment due to positioning and capnoperitoneum. This study investigated haemodynamic consequences and cardiac function in this type of surgery and evaluated the hypothesis that steep ...
Sebastian Alois Haas, Alexander Haese
exaly +3 more sources
AbstractBackgroundRobotic‐assisted laparoscopic prostatectomy (RALP) is usually performed in steep Trendelenburg position, which can be associated with cardiac impairment due to positioning and capnoperitoneum. This study investigated haemodynamic consequences and cardiac function in this type of surgery and evaluated the hypothesis that steep ...
Sebastian Alois Haas, Alexander Haese
exaly +3 more sources
Prolonged steep Trendelenburg position: risk of postoperative upper airway obstruction
Journal of Robotic Surgery, 2013Robot-assisted laparoscopic radical prostatectomy (RALRP) is the procedure of choice for the surgical treatment of prostatic cancer. Following induction of anesthesia, the patient is placed in a steep Trendelenburg position (40 – 45 ) in combination with a CO2 pneumoperitoneum.
Vimi, Rewari, Rashmi, Ramachandran
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Patient Positioning and Safety in Steep Trendelenburg
2016The modern era of urologic surgery has become increasingly dependent on technological advances, none of which is more evident than the use of the da Vinci robotic system in the management of prostate cancer. As we introduce and implement new technologies into practice, we must be cognizant of how they will affect our patients and their safety during ...
Cooper R. Benson, Jay B. Shah
openaire +1 more source
Anesthesia & Analgesia, 2009
Intraocular pressure (IOP) increases in steep Trendelenburg positioning, but the magnitude of the increase has not been quantified. In addition, the factors contributing to this increase have not been studied in robot-assisted prostatectomy cases. In this study, we sought to quantify the changes in IOP and examine perioperative factors responsible for ...
Hamdy, Awad +7 more
openaire +2 more sources
Intraocular pressure (IOP) increases in steep Trendelenburg positioning, but the magnitude of the increase has not been quantified. In addition, the factors contributing to this increase have not been studied in robot-assisted prostatectomy cases. In this study, we sought to quantify the changes in IOP and examine perioperative factors responsible for ...
Hamdy, Awad +7 more
openaire +2 more sources
Changes in airway dimensions after robot assisted surgeries in steep Trendelenburg position
Journal of Robotic Surgery, 2018Robotic surgeries in the extreme Trendelenburg position can lead to changes in the airway dimensions. We conducted a prospective, observational trial to explore the use of ultrasound to quantify these changes in the airway dimensions and identify the factors associated with it.
Seran, Reddy +5 more
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Journal of Glaucoma, 2015
To determine the effect of steep Trendelenburg (sTBURG) surgical positioning on intraocular pressure (IOP) during robotic-assisted laparoscopy (RAL) in subjects without previously identified ocular disease.Prospective cohort study.Eighteen patients undergoing RAL with sTBURG and 21 controls undergoing open and laparoscopic cases in horizontal ...
Todd J, Mondzelewski +6 more
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To determine the effect of steep Trendelenburg (sTBURG) surgical positioning on intraocular pressure (IOP) during robotic-assisted laparoscopy (RAL) in subjects without previously identified ocular disease.Prospective cohort study.Eighteen patients undergoing RAL with sTBURG and 21 controls undergoing open and laparoscopic cases in horizontal ...
Todd J, Mondzelewski +6 more
openaire +2 more sources
A&A Practice, 2019
Tracheobronchomalacia is a weakness of the trachea and bronchi due to abnormal cartilage and muscular support leading to airway obstruction. We report a case of an adult former smoker without pulmonary symptoms who underwent robotic-assisted laparoscopic cystectomy in the steep Trendelenburg position. After repeated episodes of hypoxemia, bronchoscopic
Lenard W, Babus, Daniel M, Gainsburg
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Tracheobronchomalacia is a weakness of the trachea and bronchi due to abnormal cartilage and muscular support leading to airway obstruction. We report a case of an adult former smoker without pulmonary symptoms who underwent robotic-assisted laparoscopic cystectomy in the steep Trendelenburg position. After repeated episodes of hypoxemia, bronchoscopic
Lenard W, Babus, Daniel M, Gainsburg
openaire +2 more sources
Journal of Robotic Surgery, 2011
Robotic surgery is becoming popular for minimally invasive surgical procedures as robotic devices allow unprecedented control and precision. We report a case of robotic radical cystectomy with ileal conduit urinary diversion surgery having perioperative neurological complications related to prolonged surgery in the steep head-down position. There was a
Ravindra, Pandey +4 more
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Robotic surgery is becoming popular for minimally invasive surgical procedures as robotic devices allow unprecedented control and precision. We report a case of robotic radical cystectomy with ileal conduit urinary diversion surgery having perioperative neurological complications related to prolonged surgery in the steep head-down position. There was a
Ravindra, Pandey +4 more
openaire +2 more sources
Risk Factors for Intraocular Pressure Elevation in Steep Trendelenburg Position During Surgery
Journal of GlaucomaPrécis: The STP significantly increases IOP during TLH, with a more pronounced effect observed in patients with a high BMI. Purpose: The present study sought to determine the impact of steep Trendelenburg position (STP) on intraocular ...
Irem Durmus +6 more
openaire +2 more sources