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jueves, 23 de marzo de 2017

Anestesia en cirugía urológica / Anesthesia for urology

Marzo 23, 2017. No. 2637

Retos anestésicos de pacientes con comorbilidades cardíacas sometidos a cirugía urológica mayor.

Anesthetic challenges of patients with cardiac comorbidities undergoing major urologic surgery.

Domi R1, Sula H1, Ohri I1, Beqiri A2, Kaci M2, Bodeci A2, Laho H3.

Int Arch Med. 2014 Apr 29;7:17. doi: 10.1186/1755-7682-7-17. eCollection 2014.

Abstract

The cardiac patient undergoing major urologic surgery is a complex case requiring a great attention by the anesthesiologist. Number of this group of patients having to go through this procedure is constantly increasing, due to prolonged life, increased agressiveness of surgery and increased anesthesia's safety. The anesthesiologist usually has to deal with several problems of the patient, such as hypertension, chronic heart failure, coronary artery disease, rhythm disturbances, intraoperative hemodymanic changes, intraoperative bleeding, perioperative fluid imbalance, and metabolic disturbances. A cardiac patient undergoing major urologic surgery is a complex case requiring a great attention by the anesthesiologist. The scope of this review article is to present the most frequent issues encountered with this group of patients, and to synthetically discuss the respective strategies and maneuvers during perioperative period, which is the major challenge for the anesthesiologist.

KEYWORDS: Anesthesia; Cardiac patient; Urological surgery

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Aspectos anestésicos de la prostatectomía radical laparoscópica asistida por robot.

Anesthetic concerns for robotic-assisted laparoscopic radical prostatectomy.

Gainsburg DM1.

Minerva Anestesiol. 2012 May;78(5):596-604. Epub 2012 Mar 13.

Abstract

The anesthetic concerns of patients undergoing robotic-assisted laparoscopic radical prostatectomy (RALP) are primarily related to the use of pneumoperitoneum in the steep Trendelenburg position. This combination will affect cerebrovascular, respiratory and hemodynamic homeostasis. Possible non-surgical complications range from mild subcutaneous emphysema to devastating ischemic optic neuropathy. The anesthetic management of RALP patients involves a thorough preoperative evaluation, careful positioning on the operative table, managing ventilation issues, and appropriate fluid management. Close coordination between the anesthesia and surgical teams is required for a successful surgery. This review will discuss the anesthetic concerns and perioperative management of patients presenting for RALP.

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Anestesia para cirugía urológica

Anesthesia for Urological Surgery

Zeki Tuncel Tekgul et al.

In: Current Topics in Anesthesiology

InTech, Chapters published February 08, 2017 under CC BY 3.0 license

Abstract

Because of the variable techniques and patients' positions used in urological surgery, anesthesia for urologic surgery requires advanced knowledge and special transactions. In this matter, it is important to follow current approaches for anesthesiologists. Different surgical procedures and complications due to different positions or anesthesia were evaluated separately to be more concise. We have researched recent literature and created this chapter about new technologies in urological surgery and development in anesthesia for urological surgery.

Keywords: urological anesthesia, anesthesia management, anesthesia complications, urological surgery complications

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