Anesthesia experiences on laparoscopic nephrectomy with da Vinci S robotics / 中南大学学报(医学版)
Journal of Central South University(Medical Sciences)
; (12): 1012-1015, 2015.
Artigo
em Chinês
| WPRIM (Pacífico Ocidental)
| ID: wpr-815234
Biblioteca responsável:
WPRO
ABSTRACT
OBJECTIVE@#To summarize the clinical anesthesia experiences in 20 patients who underwent laparoscopic nephrectomy with da Vinci S robotics.
@*METHODS@#Anesthesia data of 20 patients from Sichuan Provincial People's Hospital, who underwent laparoscopic nephrectomy with da Vinci S robotics from August 2014 to November 2014, were analyzed and summarized. The anesthesia time, operation time, CO(2) pneumoperitoneum time, PaCO(2) and PETCO(2) were recorded.
@*RESULTS@#All patients were anesthetized and underwent surgery with da Vinci S robotics. The anesthesia time was (220±14) min, the operation time was (187±11) min, and the CO(2) pneumoperitoneum time was (180±13) min. The PaCO(2) and PETCO(2) were significantly elevated at 1.5 h after operation compared with those at the baseline (before pneumoperitoneum) (P<0.05). The pH value was significantly decreased at 2.5 h after operation compared to that at the baseline (P<0.05). The peak airway pressure of inspiration was significantly elevated at 0.5 h after the beginning of pneumoperitoneum compared to that at the baseline (P<0.05).
@*CONCLUSION@#The hemodynamics is stable during the laparoscopic nephrectomy with da vinci S robotics. However, the duration of CO(2) pneumoperitoneum is significantly increased compared to that of other surgical procedures, resulting in high airway resistance and acid-base disturbance.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pneumoperitônio Artificial
/
Cirurgia Geral
/
Equilíbrio Ácido-Base
/
Resistência das Vias Respiratórias
/
Laparoscopia
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Duração da Cirurgia
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Procedimentos Cirúrgicos Robóticos
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Hemodinâmica
/
Anestesia
/
Rim
Limite:
Humanos
Idioma:
Chinês
Revista:
Journal of Central South University(Medical Sciences)
Ano de publicação:
2015
Tipo de documento:
Artigo