The effect of robotic-assisted laparoscopic radical prostatectomy procedures on postoperative cognitive dysfunction and S100B release: a prospective observational study
Publication date: Available online 10 October 2020Source: Brazilian Journal of Anesthesiology (English Edition)Author(s): Nilgun Kavrut Ozturk, Ali Sait Kavakli, Ulku Arslan, Guzin Aykal, Murat Savaş
Can sugammadex reduce the length of hospital stay, recovery time, and unplanned readmission for patients who underwent robot-assisted laparoscopic prostatectomy when compared to neostigmine?BMC Anesthesiology
ConclusionsUnder the same Pnp pressure in RARP, deep and moderate NMBs resulted in similar changes inCrs, and in other respiratory mechanics and surgical space conditions. However, deep NMB significantly reduced body movements during surgery.
CONCLUSIONS: Under the same Pnp pressure in RARP, deep and moderate NMBs resulted in similar changes in Crs, and in other respiratory mechanics and surgical space conditions. However, deep NMB significantly reduced body movements during surgery. PMID: 32748579 [PubMed - in process]
CONCLUSION: Although minimally invasive techniques have good surgical outcomes such as less blood loss, smaller surgical incision, and shorter hospitalization, these techniques bring new problems that anesthesiologists have to deal with. Increased RARP operations has led to the anesthesiologists more likely to encounter perioperative problems. KEY WORDS: Anesthesia, Minimally invasive techniques, Radical prostatectomy. PMID: 32719182 [PubMed - in process]
Sugammadex reduces postoperative complications. We sought to determine whether it could reduce the length of hospital stay, post-anesthetic recovery time, unplanned readmission, and charges for patients who un...
AbstractRobotic-assisted laparoscopic prostatectomy (RALP) is the most common robotic surgical procedure, but there are little published data to inform anaesthetic practice. We aimed to characterise the range of anaesthetic practice for RALP in the United Kingdom through a national survey. We conducted an online national survey to determine current anaesthetic practice for RALP. The survey was distributed to all NHS hospitals within the UK that perform RALP. Thirty-four (79%) of 43 hospitals responded to the survey. Fourteen (41%) centres routinely provide spinal anaesthesia and 79% of these use diamorphine as their intrat...
CONCLUSIONS: Robot-assisted surgery required varied consumption of anesthetics and infusion management during MIRP under GCEA. It also shortened the postoperative hospital stay without increasing the rates of postoperative complications. PMID: 32475905 [PubMed - as supplied by publisher]
ConclusionThe predictive performance of propofol TCI during RALP with CO2 pneumoperitoneum in the HDP was acceptable.
Conclusions: Our findings demonstrate that both TIVA with propofol/remifentanil and VA with sevoflurane or desflurane/remifentanil have comparable effects on oncologic outcomes in patients undergoing RALP. PMID: 32174775 [PubMed - in process]
Background Pneumoperitoneum and a steep Trendelenburg position during robot-assisted laparoscopic prostatectomy have been demonstrated to promote a cranial shift of the diaphragm and the formation of atelectasis in the dorsal parts of the lungs. However, neither an impact of higher positive end-expiratory pressure (PEEP) on preserving the ventilation in the dorsal region nor its physiologic effects have been fully examined. The authors hypothesized that PEEP of 15 cm H2O during robot-assisted laparoscopic prostatectomy might maintain ventilation in the dorsal parts and thus improve lung mechanics.Methods In this randomized...