Perioperative Management in Robotic Surgery PDF Download

Author: Alan David Kaye
Publisher: Cambridge University Press
ISBN: 1107143128
Category : Medical
Languages : en
Pages : 281

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Book Description
An exhaustive textbook on robot-assisted surgery written for anesthesiologists as well as surgeons.

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Languages : en
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BackgroundRobot assisted laparoscopic surgery is a widespread technique used more frequently in colorectal surgery. ERAS perioperative management have demonstrated better outcome of patients. Hypothermia during general anesthesia has been correlated to many complication and this could compromise the outcome. Although many type of warming devices have been applied during surgery, the contest of Robotic surgery, we hypothesize, may be different due to ineffective warming methods linked to different operative setting.Materials and MethodsWe enrolled 20 adults patients scheduled to undergo to elective robot assisted laparoscopic major colorectal surgery. Perioperative management was conducted following ERAS protocol. General characteristics of patients (age, gender, comorbidity) were registered. ASA physical status were recorded before surgery.Patients were warmed with forced air system and fluid were warmed with set point fixed at 41u00b0C. Temperature was monitored with Spoton System and data were collected every 30 minutes also in post surgery period. Temperature of operating room was fixed on 23u00b0 C. Post-operative Bedside Shivering Assessment and patient temperature comfort were collected at 5, 15, and 30 minutes after surgery.Results and DiscussionDemographical and ASA physical status of our group were homogeneous. Our patients showed a characteristic pattern of development of hypothermia during anesthesia and continuous to be hypothermic (35,2 u00b0C0,5) in post-anesthesia period with prolonged shivering. Particularly we noted high incidence (90% [n=18/20];) of postoperative discomfort (u201csevereu201d 40% [n=8/20]; u201cmoderateu201d 50% [n=10/20]) 5 minutes after surgery and the same incidence remain at 15 minutes although fluid warming and the use of warmed forced air showing a not adequate control of body temperature. Moreover 60% (n=12/20;) of patients showed u201cmildu201d shivering and 30% (n=6/20;) presented u201cmoderateu201d shivering.ConclusionsFew data exist on ERAS perioperative management of temperature in Robotic Surgery.Our patients were hypothermic although multiple strategies were applied for preventing and control heat loss. This may be related to position and little surface body area exposed for active warming in robotic setting. These preliminary findings suggest the need of improving strategies for warming in robotic surgery.

Author: Gongxian Wang
Publisher: Springer Nature
ISBN: 9811605106
Category : Medical
Languages : en
Pages : 299

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Book Description
Written in readable format and rich with clinical cases, this book systematically introduces surgical nursing during robotic surgery. The first part introduces the history of robotic surgery, operating room management, quality control of robotic surgical nursing, management of safety, infection, and anaesthesia. The second part introduces key points of nursing during robotic surgery in urology, general surgery, gynaecology, heart, chest and otorhinolaryngology. It will be a helpful reference for practitioners those in the process of implanting or about to implant robotic surgery.

Author: Shawn Tsuda
Publisher: Springer
ISBN: 3319968661
Category : Medical
Languages : en
Pages : 331

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Book Description
Minimally invasive surgery has impacted the outcomes of surgery more than any technology since the development of sterile technique. The hard science has demonstrated that decrease in wound complications and recovery time has created the biggest gap with open approaches to surgery. The total economic benefit may be unfathomable when looked at comprehensively. Integral to the rise of minimal access and therapeutic techniques in surgery has been the growth of technological improvements over time. Beginning with insufflators, videoscopy, and energy devices, that evolution has continued into the development of tele-surgical devices that feature full articulation of instruments, high-resolution 3-D optics, and computer assisted movement. This has come with controversy – as the dominant manufacturer of robotic assisted devices, Intuitive Surgical, and their generations of da Vinci surgical platforms, holds enough market share to spur cries of monopoly and financial excess. However, with over 3000 world-wide systems in use, and over 6000 peer-reviewed research articles, the impact of robotic surgery cannot be ignored. The current state of data suggests equivalency in most procedures with regard to traditional outcome measures, equal or somewhat elevated costs, with specific areas of superiority. The first section of this textbook, Surgical Robots, covers the history, economics, training, and medico-legal aspects of robotic surgery that will be of interest to students, residents, fellows, surgical staff, and administrators or public health specialists who seek to gain a comprehensive background on robotic surgery, or justification for purchasing a robotic system for their institution. Surgeons will also find this background valuable to their practice, to give context to their procedures so they can better counsel their patients, help with advocating for robotic platform purchases, and proactively prepare themselves for medico-legal issues. The chapter on legal issues will have specific instances of robotic surgery-related lawsuits and their outcomes, a first for robotic surgery texts. The second section of this textbook, Robotic Procedures, will contain a comprehensive catalogue of procedures that have been performed robotically in general surgery, gynecology, urology, plastic surgery, cardiothoracic, and otolaryngology. Each author will cover the existing literature, preoperative planning, room and patient setup, steps of the procedure, and postoperative care. Standardized room maps and port placement will help the student, resident, fellow, surgeon or OR Staff to quickly reference these before cases. Each chapter will also cover the specific equipment needs and expected complexity of the procedures, allowing administrators to better gauge how to prepare for, or ration, use or their robotic resources. The final section, Future of Robotics, will give the entire scope of audience a look into what exciting advancements in the field are on the horizon. This textbook is a complete resource for robotic-assisted minimally invasive surgery, covering the history, current state, technical and clinical aspects, and future considerations that may be of interest to any who has a role, stake, or curiosity regarding robotic surgery.

Author: Ian Calder
Publisher: Cambridge University Press
ISBN: 1139493744
Category : Medical
Languages : en
Pages : 331

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Book Description
Every anaesthetist reaches the end of their career with a collection of difficult airway experiences. Managing airway challenges relies on a combination of good clinical practice, knowledge of relevant basic sciences and critical evaluation of every aspect of airway care. This new edition of Core Topics in Airway Management provides any trainee or consultant involved in airway techniques with practical, clinically relevant coverage of the core skills and knowledge required to manage airways in a wide variety of patients and clinical settings. All new procedures and equipment are reviewed, and detailed chapters advise on airway issues in a range of surgical procedures. This edition also contains a series of practical questions and answers, enabling the reader to evaluate their knowledge. Written by leading airway experts with decades of experience managing difficult airways, Core Topics in Airway Management, 2nd edition is an invaluable tool for anaesthetists, intensivists, and emergency physicians.

Author: Tony Costello
Publisher: Elsevier Health Sciences
ISBN: 0323798217
Category : Medical
Languages : en
Pages : 691

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Book Description
Robot-assisted surgery, soon to be incorporated into most surgical disciplines, can reduce postoperative complications by up to 50%, and has been shown to result in reduced blood loss, earlier hospital discharge, and faster return to normal activity for the patient. Edited by master surgeon Tony Costello, and with contributions from the world's best and most experienced robotic surgeons worldwide, Principles and Practice of Robotic Surgery is an up-to-date, all-in-one reference that provides step-by-step instruction for practicing surgeons and those who are entering robotic surgery training. This first-of-its-kind text discusses new technologies and their application in each surgical subspecialty, with hundreds of outstanding illustrations and high-quality videos—making this an ideal resource for the entire OR team. - Covers every aspect of nearly all current adult and pediatric robotic surgeries in all surgical disciplines. - Includes key topics such as robotic anesthesia, operating room prep and positioning of the equipment, certification for robotic training, and the use of artificial intelligence and virtual reality in the present and potential future use of robotic surgery. - Discusses the evolution of robotic machines with a focus on new and emerging machines for surgery and education. - Provides specific docking instructions with tips and tricks for each robotic operation. - Offers comprehensive coverage in a magnificently illustrated, single-volume book, with contributions from an international Who's Who of the world's best robotic surgeons. - Offers numerous procedural videos, including Robotic Prostatectomy: The Patel Approach; Female Pelvic Organ Sparing (POP) and Male Nerve Sparing (NS) RARC; XiXi Operating Room and Surgical Cart setup for TORS, as well as various TORS procedures; Robotic Surgery in Pediatric Otolaryngology Head and Neck Surgery; and more.

Author: Go Watanabe
Publisher: Springer
ISBN: 443154853X
Category : Medical
Languages : en
Pages : 162

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Book Description
Thanks to the advent of leading-edge technologies, there is a new cross-sectional field of surgery: robotic surgery. Due to the rapid development of robotic surgery systems such as da Vinci, there is a great need to refresh one’s knowledge every day. This book covers all surgical areas: urological surgery, digestive surgery and cardiac surgery in addition to mitral valvular disease. It also summarizes the most current topics in robotic surgery addressed by well-known experts from around the world. These specialists’ expertise provides useful insights into modern educational techniques for the latest trends in surgery—knowledge that will be valuable to students, residents, and experts who are eager to learn more about advanced medical care including da Vinci as a cross-cutting surgical device, even if it lies outside their specialty field.

Author: Glenn Preminger
Publisher: John Wiley & Sons
ISBN: 1444335545
Category : Medical
Languages : en
Pages : 1911

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Book Description
Accompanying DVD-ROM, in pocket at front of v. 1, contains ... "video clips referenced in the text."--DVD-ROM label.

Author: Howard Ross
Publisher: Springer
ISBN: 3319091204
Category : Medical
Languages : en
Pages : 293

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Book Description
This book examines the considerations, drawbacks, and advancements minimally invasive techniques have provided in the evaluation, management, and outcomes across a broad range of colorectal disease and procedures. For some readers of this book, a minimally invasive approach to colorectal disease may add a new dimension to the management of these patients. For others, it is the opportunity to learn helpful tips, specifics about a certain procedure, or to fine tune what has already become a routine part of their practice. Even if you have successfully overcome many of the technical challenges of minimally invasive surgery, the preoperative evaluation, perioperative decision-making, and management of postoperative complications can be demanding and consuming. Wherever you may be on this spectrum, Robotic Approaches to Colorectal Surgery is a useful resource to surgeons.

Author: Davy C. H. Cheng
Publisher: Lippincott Williams & Wilkins
ISBN: 9780781757744
Category : Medical
Languages : en
Pages : 566

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Book Description
Written by eminent cardiac anesthesiologists and surgeons, this handbook is a complete, practical guide to perioperative care in cardiac surgery. The book addresses every aspect of cardiopulmonary bypass management and fast-track and traditional cardiac anesthesia and describes all surgical techniques, with emphasis on postoperative considerations. Close attention is also given to routine care and management of complications in the cardiac surgical recovery unit. Coverage includes up-to-date information on cardiac and neurologic monitoring, off-pump surgery, new devices for anastomosis, robotic surgery, and neurologic complications and outcomes. Tables, algorithms, and 15 appendices summarize key facts, protocols, and clinical decisions.