Current Concepts in Intraoperative Ventilation during Anesthesia for Laparoscopic and Robot–Assisted Surgery – a Narrative Review
Issued Date
2024-01-01
Resource Type
ISSN
15233855
eISSN
21676275
Scopus ID
2-s2.0-85203192402
Journal Title
Current Anesthesiology Reports
Rights Holder(s)
SCOPUS
Bibliographic Citation
Current Anesthesiology Reports (2024)
Suggested Citation
Jimenez-Santana J.D., Díaz-Cambronero O., Schultz M.J., Mazzinari G. Current Concepts in Intraoperative Ventilation during Anesthesia for Laparoscopic and Robot–Assisted Surgery – a Narrative Review. Current Anesthesiology Reports (2024). doi:10.1007/s40140-024-00648-7 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/101175
Title
Current Concepts in Intraoperative Ventilation during Anesthesia for Laparoscopic and Robot–Assisted Surgery – a Narrative Review
Corresponding Author(s)
Other Contributor(s)
Abstract
Purpose of Review: Laparoscopic and robot–assisted procedures have become preferred over open abdominal surgery due to their numerous benefits, such as reduced postoperative pain, lower infection risk, and quicker recovery. However, these techniques pose unique challenges for intraoperative ventilation due to the need for CO2 insufflation to create a pneumoperitoneum and specific patient positioning, both of which adversely affect respiratory mechanics. This narrative review aims to summarize these challenges and describes current strategies to overcome them. Recent Findings: Implementing lung–protective ventilation with low tidal volumes and personalized PEEP, along with measures to reduce mechanical power of ventilation, have been shown to reduce postoperative pulmonary complications (PPCs). Summary: Effective and safe intraoperative ventilation during laparoscopic and robot–assisted surgery requires a nuanced understanding of respiratory mechanics and tailored ventilation strategies. Lung-protective ventilation is crucial for minimizing lung injury and optimizing patient outcomes.