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Anesthesia for Robotic Thoracic Surgery
Book chapter

Anesthesia for Robotic Thoracic Surgery

Javier Campos
Principles and Practice of Anesthesia for Thoracic Surgery, pp.651-659
Springer International Publishing
01/05/2019
DOI: 10.1007/978-3-030-00859-8_39

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Abstract

The management of the robotic thoracic surgical patient requires the knowledge of minimally invasive surgery techniques involving the chest. Familiarity with the da Vinci® robot surgical system by the anesthesiologist is mandatory. Management of one-lung ventilation techniques with a left-sided double-lumen endotracheal tube or an independent bronchial blocker is required, along with flexible fiber optic bronchoscopy techniques. Patient positioning and prevention of complications such as nerve or crashing injuries, while the robotic system is used. Recognition of the hemodynamic effects of carbon dioxide (CO2) during insufflation in the chest is required. Potential for conversion to open thoracotomy or open procedure in the abdomen.
One-lung ventilation Advantages and disadvantages of robotic surgery Robotic surgery and patient positioning Robotic thoracic surgery Carbon dioxide insufflation

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