Anaesthesia and intensive care
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Anaesth Intensive Care · Apr 2007
Case ReportsAnaesthesia for robotic-assisted radical prostatectomy: considerations for laparoscopy in the Trendelenburg position.
Two cases of anaesthetic complications after robotic-assisted laparoscopic radical prostatectomy using the da Vinci Remote-Controlled Surgical System are presented. Case 1 describes a patient with post-extubation respiratory distress requiring re-intubation and subsequent ventilation in an intensive care unit. ⋯ Case 2 describes a patient with mild brachial plexus neurapraxia, which was most likely due to compression by shoulder braces (to prevent cephalad sliding) during the exaggerated head-down tilt. For this procedure, the authors recommend limiting the duration and extent of head-down tilt as much as possible, avoiding excessive intravenous fluids and careful positioning of the patient with avoidance of shoulder braces whenever possible.
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Anaesth Intensive Care · Apr 2007
Editorial Comment Comparative StudyEpidural vs. multimodal analgesia for colorectal laparotomy.