Anesthetic considerations and goals in robotic pediatric surgery: a narrative review.

Priyanka Mishra, Bhavna Gupta, Amborish Nath
Author Information
  1. Priyanka Mishra: Department of Anesthesia and Critical Care, AIIMS, Rishikesh, Uttarakhand, India. pmishra15390@gmail.com. ORCID
  2. Bhavna Gupta: Department of Anesthesia and Critical Care, AIIMS, Rishikesh, Uttarakhand, India.
  3. Amborish Nath: Department of Anesthesia and Critical Care, AIIMS, Rishikesh, Uttarakhand, India.

Abstract

The morphosis from open surgeries to minimally invasive procedures is in greater part owing to the development of robotics. There has been a hiking popularity of robotic assistance for surgeries in recent years. Though a minimally invasive approach for surgery, it poses major challenges for an anesthesiologist that compound further for pediatric patients. The need of the hour for an anesthesiologist is to have a scrupulous knowledge and understanding of the associated anatomical and physiological considerations in case of pediatric patients. Major anesthetic concerns include restricted patient access, physiologic changes of pneumoperitoneum and different operative positions, risk of hypothermia, efficient fluid and peri-operative pain management. Timely anticipation, cautious observation for peri-operative complications and quick intervention to manage the same are warranted to provide high-quality anesthetic care. This simply implies that as robotic surgery plans to stretch up-to zenith, anesthesiologists shall strive to ace their part in robotic pediatric anesthesia as well. With an efficient and dynamic teamwork, robotic-assisted surgeries hold the potential to turn wonders for the future of surgery.

Keywords

References

  1. Arch Otolaryngol Head Neck Surg. 2007 Jan;133(1):46-50; discussion 50 [PMID: 17224522]
  2. Pediatr Radiol. 2004 Jun;34(6):454-61 [PMID: 14985879]
  3. Pediatrics. 2005 Dec;116(6):e785-91 [PMID: 16322135]
  4. Eur Respir J. 2008 Dec;32(6):1639-51 [PMID: 19043010]
  5. Ann Cardiothorac Surg. 2019 Mar;8(2):263-268 [PMID: 31032211]
  6. Eur J Anaesthesiol. 2018 Apr;35(4):307-314 [PMID: 29303905]
  7. Circulation. 2003 Sep 9;108 Suppl 1:II191-4 [PMID: 12970231]
  8. Surg Endosc. 2011 Feb;25(2):378-96 [PMID: 20623239]
  9. Best Pract Res Clin Anaesthesiol. 2002 Mar;16(1):115-30 [PMID: 12491547]
  10. J Cardiovasc Thorac Res. 2017;9(4):221-228 [PMID: 29391936]
  11. Int J Clin Pract. 2009 Feb;63(2):185-8 [PMID: 19196355]
  12. N Engl J Med. 1983 Jun 23;308(25):1505-8 [PMID: 6406888]
  13. Rev Urol. 2013;15(4):178-84 [PMID: 24659914]
  14. Br J Anaesth. 2017 Apr 1;118(4):492-503 [PMID: 28403397]
  15. BJU Int. 2008 Jul;102(1):86-92 [PMID: 18336600]
  16. Indian J Anaesth. 2009 Oct;53(5):560-6 [PMID: 20640106]
  17. Br J Anaesth. 2010 Apr;104(4):433-9 [PMID: 20167583]
  18. CADTH Technol Overv. 2012;2(2):e2203 [PMID: 23002378]
  19. J Am Coll Surg. 1995 Nov;181(5):397-406 [PMID: 7582206]
  20. Can J Surg. 1992 Jun;35(3):271-4 [PMID: 1535544]
  21. J Pediatr Surg. 2006 Aug;41(8):1392-6 [PMID: 16863843]
  22. BJU Int. 2006 Sep;98(3):508-13 [PMID: 16925745]
  23. J Minim Invasive Gynecol. 2010 May-Jun;17(3):295-300 [PMID: 20303833]

MeSH Term

Anesthesia
Anesthetics
Child
Goals
Humans
Pediatrics
Robotic Surgical Procedures
Robotics

Chemicals

Anesthetics

Word Cloud

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