Anesthetic management in robotic cardiac surgery: Our clinical experiences Robotik kalp cerrahisinde anestezi yönetimi: Klinik deneyimlerimiz
Anestezi Dergisi, cilt.28, sa.2, ss.93-99, 2020 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 28 Sayı: 2
- Basım Tarihi: 2020
- Doi Numarası: 10.5222/jarss.2020.29200
- Dergi Adı: Anestezi Dergisi
- Derginin Tarandığı İndeksler: Scopus, Academic Search Premier, Central & Eastern European Academic Source (CEEAS), EMBASE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.93-99
- Anahtar Kelimeler: Anesthesia, Cardiac surgical procedures, Echocardiography transesophageal, Robotic surgical procedures
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Minimally invasive surgical approaches have various potential benefits, as well as new challenges for anesthesia and surgical teams. In this study, we aimed to present our anesthesia experience in robotic cardiac surgery procedures performed in our clinic with current information. Method: This study included 227 (120 men, 107 women) patients who underwent robotic cardiac surgery performed via right thoracotomy between October 2014 and December 2019. Demographic data, type of surgery, EuroSCORE values, cross-clamp and cardio-pulmonary bypass time, postoperative complications, length of intensive care and hospital stays were obtained by screening patients’ files and anesthesia follow-up forms. Results: ASD-VSD was performed in 101 patients, valve surgery in 114 patients, and intracardiac mass excision in 13 patients using robotic surgery. Fifteen procedures were performed as the beating heart surgery. Median extubation time of the patients after surgery was 5 hours, median length of intensive care and hospital stays were 1, and 7 days, respectively. Due to the need for prolonged mechanical ventilation in the postoperative period, 3 patients underwent tracheosto-my. Permanent pacemaker implantation was performed in 10 of the patients undergoing valve surgery. Conclusion: In robotic cardiac surgery, which includes all features of both thoracic and cardiac surgery, anesthetists must know the complications that may occur and make a plan in advance against them. In addition, it is necessary to acquire the knowledge required for single- lung ventilation and transesophageal echocardiography, which is an integral part of this particular surgery.