The Effect of Dexmedetomidine on Intraocular Pressure Increase in Patients During Robot-Assisted Laparoscopic Radical Prostatectomy in the Steep Trendelenburg Position

2015 ◽  
Vol 29 (3) ◽  
pp. 310-316 ◽  
Author(s):  
Na Young Kim ◽  
Young-Chul Yoo ◽  
HeeJoon Park ◽  
Young Deuk Choi ◽  
Chan Yun Kim ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Radical Prostatectomy ◽  
Laparoscopic Radical Prostatectomy ◽  
Pressure Increase ◽  
Robot Assisted ◽  
Trendelenburg Position ◽  
Steep Trendelenburg Position

Hemodynamic Perturbations During Robot-Assisted Laparoscopic Radical Prostatectomy in 45° Trendelenburg Position

2011 ◽  
Vol 113 (5) ◽  
pp. 1069-1075 ◽  
Author(s):  
Melinda Lestar ◽  
Lars Gunnarsson ◽  
Lars Lagerstrand ◽  
Peter Wiklund ◽  
Suzanne Odeberg-Wernerman
Keyword(s):  
Radical Prostatectomy ◽  
Laparoscopic Radical Prostatectomy ◽  
Robot Assisted ◽  
Trendelenburg Position

scholarly journals Features of the mechanics of respiration and gas exchange during robot-assisted radical prostatectomy. Review

2020 ◽  
pp. 75-89
Author(s):  
Ildar I. Lutfarakhmanov ◽  
I. A Melnikova ◽  
E. Yu Syrchin ◽  
V. F Asadullin ◽  
Yu. A Korelov ◽  
...  
Keyword(s):  
Risk Factors ◽  
Radical Prostatectomy ◽  
Gas Exchange ◽  
The Body ◽  
Cochrane Library ◽  
Chronic Obstructive ◽  
Positive End Expiratory Pressure ◽  
Robot Assisted ◽  
Trendelenburg Position ◽  
Steep Trendelenburg Position

Introduction. Prostate cancer remains the most common urological malignancy, and robot-assisted radical prostatectomy (RARP) is the most effective treatment option. Special conditions for operation (Trendelenburg position and pneumoperitoneum) increase the airway pressure and reduce functional residual capacity of the lungs. Objectives. Review of risk factors for disorders and various interventions to improve pulmonary function and reduce the adverse physiological effects of RARP under general anesthesia. Materials and methods. This review of literature was conducted using the PubMed search engine in electronic databases Medline, Embase, the Cochrane Library and others up to May 2019. Results. A total of 22 studies were searched, including 9 randomized controlled trials. The factor that could worsen gas exchange during RARP was the body mass index 30 kg/m2. It is possible to improve gas exchange by means of recruitment maneuvers. Positive end-expiratory pressure of 5-10 cm H2O improves oxygenation but requires alertness in patients with chronic heart failure and chronic obstructive pulmonary disease. Conclusions. The main risk factors for perioperative respiratory and oxygenation disorders in RARP are pneumoperitoneum and steep Trendelenburg position. The effectiveness of ventilation regimes for the prevention of gas exchange disorders has not been proven. Using the recruitment maneuver and increasing the positive end-expiratory pressure does not improve the respiratory function of the lungs. Further studies with a longer follow-up period are needed to determine the clinical efficacy and safety of RARP.

scholarly journals Transient but Significant Visual Field Defects after Robot-Assisted Laparoscopic Radical Prostatectomy in Deep Trendelenburg Position

PLoS ONE ◽  
2015 ◽  
Vol 10 (4) ◽  
pp. e0123361 ◽  
Author(s):  
Yukako Taketani ◽  
Chihiro Mayama ◽  
Noriyuki Suzuki ◽  
Akiko Wada ◽  
Tatsuhiro Oka ◽  
...  
Keyword(s):  
Visual Field ◽  
Radical Prostatectomy ◽  
Laparoscopic Radical Prostatectomy ◽  
Visual Field Defects ◽  
Robot Assisted ◽  
Trendelenburg Position ◽  
Field Defects
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