Joint consensus on anesthesia in urologic and gynecologic robotic surgery: Specific issues in management from a task force of the SIAARTI, SIGO, and SIU

Liliana Sollazzi, Giovanni Scambia, Emilio Sacco, Paola Aceto, Alfredo Ercoli, Luigi Beretta, Claudia Cariello, Claudia Claroni, Clelia Esposito, Ester M. Forastiere, Fabio Guarracino, Raffaella Perucca, Stefano Romagnoli, Vito Cela, Enrico Vizza, Giuseppe M. Ludovico, Giuseppe Vespasiani, Luigia Scudeller, Antonio Corcione

Risultato della ricerca: Contributo in rivistaArticolo in rivista

2 Citazioni (Scopus)

Abstract

INTRODUCTION: Proper management of patients undergoing robotic-assisted urologic and gynecologic surgery must consider a series of peculiarities in the procedures for anesthesiology, critical care medicine, respiratory care, and pain management. Although the indications for robotic-assisted urogynecologic surgeries have increased in recent years, specific guidance documents are still lacking. EVIDENCE ACQUISITION: A multidisciplinary group including anesthesiologists, gynecologists, urologists, and a clinical epidemiologist systematically reviewed the relevant literature and provided a set of recommendations and unmet needs on peculiar aspects of anesthesia in this field. EVIDENCE SYNTHESIS: Nine core contents were identified, according to their requirements in urogynecologic robotic-assisted surgery: patient position, pneumoperitoneum and ventilation strategies, hemodynamic variations and fluid therapy, neuromuscular block, renal surgery and prevention of acute kidney injury, monitoring the Department of anesthesia, postoperative delirium and cognitive dysfunction, prevention of postoperative nausea and vomiting, and pain management in endometriosis. CONCLUSIONS: This consensus document provides guidance for the management of urologic and gynecologic patients scheduled for robotic-assisted surgery. Moreover, the identified unmet needs highlight the requirement for further prospective randomized studies.
Lingua originaleEnglish
pagine (da-a)871-885
Numero di pagine15
RivistaMINERVA ANESTESIOLOGICA
Volume85
DOI
Stato di pubblicazionePubblicato - 2019

Keywords

  • Anesthesia
  • Gynecology
  • Pneumoperitoneum
  • Robotic surgical procedures
  • Urology

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