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Anesthetic Management of Robotically Assisted Totally Endoscopic Coronary Artery Bypass Surgery (TECAB)

2013; Elsevier BV; Volume: 27; Issue: 3 Linguagem: Inglês

10.1053/j.jvca.2013.01.005

1532-8422

Seema Deshpande, Eric J. Lehr, Patrick Odonkor, Johannes Bonatti, Maudy Kalangie, David Zimrin, Alina M. Grigore,

Surgical Simulation and Training

Over the last decade, TECAB has matured into a reproducible technique associated with low incidence of both mortality and morbidity, as well as superior quality of life, when compared with open CABG surgery. However, TECAB also is associated with important and specific challenges for the anesthesiology team, particularly with regard to the physiologic stresses of OLV, placement of special catheters, and induced capnothorax. As the technology supporting robotic surgery evolves and familiarity with, and confidence in, TECAB increases, the authors anticipate increasingly widespread use of these procedures in an increasingly fragile and problematic patient population who will require the support of a skilled and vigilant anesthesiology team.