The Effects of Deep Neuromuscular Blockade During Robot-assisted Transaxillary Thyroidectomy on Postoperative Pain and Sensory Change

2019 ◽  
Author(s):  
Keyword(s):  
Postoperative Pain ◽  
Neuromuscular Blockade ◽  
Robot Assisted ◽  
Sensory Change ◽  
Transaxillary Thyroidectomy

scholarly journals Report of a Track Seeding of Thyroid Papillary Carcinoma During Robot- Assisted Transaxillary Thyroidectomy

2017 ◽  
Vol 06 (03) ◽  
Author(s):  
Emilien Chabrillac ◽  
Slimane Zerdoud ◽  
Pierre Graff Cailleaud ◽  
Sebastien Fontaine ◽  
Jerome Sarini
Keyword(s):  
Papillary Carcinoma ◽  
Thyroid Papillary Carcinoma ◽  
Robot Assisted ◽  
Thyroid Papillary ◽  
Transaxillary Thyroidectomy

scholarly journals Initial experience using robot- assisted transaxillary thyroidectomy for Graves’ disease

2011 ◽  
Vol 148 (6) ◽  
pp. e447-e451 ◽  
Author(s):  
E. Kandil ◽  
S. Noureldine ◽  
M. Abdel Khalek ◽  
S. Alrasheedi ◽  
R. Aslam ◽  
...  
Keyword(s):  
Graves Disease ◽  
Initial Experience ◽  
Robot Assisted ◽  
Transaxillary Thyroidectomy

Does neuromuscular blockade affect postoperative pain?

2013 ◽  
Vol 30 ◽  
pp. 223-223
Author(s):  
E. Stamatakis ◽  
S. Hadzilia ◽  
A. Loukeri ◽  
A. Panagopoulou ◽  
D. Valsamidis
Keyword(s):  
Postoperative Pain ◽  
Neuromuscular Blockade

770 POSTOPERATIVE PAIN AFTER PURE AND ROBOT-ASSISTED LAPAROSCOPIC RADICAL PROSTATECTOMY. A PROSPECTIVE RANDOMIZED STUDY

2011 ◽  
Vol 185 (4S) ◽  
Author(s):  
Eliana Calza ◽  
Francesco Porpiglia ◽  
Cristian Fiori ◽  
Andrea Giannone ◽  
Alessandro Meli ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Radical Prostatectomy ◽  
Randomized Study ◽  
Laparoscopic Radical Prostatectomy ◽  
Prospective Randomized Study ◽  
Robot Assisted

Chronic Postoperative Pain After Robot-Assisted Laparoscopic Hysterectomy for Endometrial Cancer

2019 ◽  
Vol 35 (3) ◽  
pp. 140-146 ◽  
Author(s):  
Søren Lunde ◽  
Kristian Kjær Petersen ◽  
Pirathiv Kugathasan ◽  
Lars Arendt-Nielsen ◽  
Erik Søgaard-Andersen
Keyword(s):  
Endometrial Cancer ◽  
Postoperative Pain ◽  
Laparoscopic Hysterectomy ◽  
Chronic Postoperative Pain ◽  
Robot Assisted

scholarly journals Effect of Neuromuscular Blockade on Intraoperative Respiratory Mechanics and Surgical Space Conditions during Robot-Assisted Radical Prostatectomy: A Prospective Randomized Controlled Trial

2021 ◽  
Vol 10 (21) ◽  
pp. 5090
Author(s):  
Chang-Hoon Koo ◽  
Insun Park ◽  
Sungmin Ahn ◽  
Sangchul Lee ◽  
Jung-Hee Ryu
Keyword(s):  
Radical Prostatectomy ◽  
Neuromuscular Blockade ◽  
Respiratory Mechanics ◽  
Controlled Trial ◽  
Peak Inspiratory Pressure ◽  
Robot Assisted ◽  
Co2 Insufflation ◽  
Number Of Patients ◽  
Surgical Conditions ◽  
Surgical Condition

The aim of this study was to investigate whether deep neuromuscular blockade (NMB) may affect intraoperative respiratory mechanics, surgical condition, and recovery profiles in patients undergoing robot-assisted radical prostatectomy (RARP). Patients were randomly assigned to the moderate or deep NMB groups. Pneumoperitoneum was maintained with carbon dioxide (CO2) insufflation at 15 mmHg during surgery. The primary outcome was peak inspiratory pressure (PIP) after CO2 insufflation. Mean airway pressure (Pmean) and dynamic lung compliance (Cdyn) were also recorded. The surgeon rated the surgical condition and surgical difficulty on a five-point scale (1 = extremely poor; 2 = poor; 3 = acceptable; 4 = good; 5 = optimal). Recovery profiles, such as pulmonary complications, pain scores, and recovery time, were recorded. We included 58 patients in this study. No significant differences were observed regarding intraoperative respiratory mechanics including PIP, Pmean and Cdyn, between the two groups. The number of patients with optimal surgical conditions was significantly higher in the deep than in the moderate NMB group (29 vs. 20, p = 0.014). We found no differences in recovery profiles. In conclusion, deep NMB had no significant effect on the intraoperative respiratory mechanics but resulted in optimal endoscopic surgical conditions during RARP compared with moderate NMB.

scholarly journals Analgesic combination for robot assisted laparoscopic radical prostatectomy; transversus abdominis plane block and rectus sheath block: Where and how?

2021 ◽  
Vol 7 (5) ◽  
pp. 284
Author(s):  
Sami Kaan Coşarcan
Keyword(s):  
Postoperative Pain ◽  
Radical Prostatectomy ◽  
Rectus Sheath ◽  
Transversus Abdominis ◽  
Tap Block ◽  
Robot Assisted ◽  
Rescue Analgesia ◽  
Recovery Unit ◽  
Rectus Sheath Block ◽  
Transurethral Catheter

<p class="abstract">One of the common arguments for advantages of minimally invasive surgery is reduced postoperative pain and faster recovery. Faster recovery is expected with less postoperative pain in robotic surgeries. Robot-assisted radical prostatectomy causes considerable discomfort, mainly during the first postoperative day. The discomfort originates from abdominal pain, bladder spasm and transurethral catheter irritation. We would like to share our experience on use of bilateral subcostal mid axillar TAP block and rectus sheath block for postoperative analgesia in five male patients who underwent robot assisted radical prostatectomy surgery. General anesthesia was performed with 2mg/kg propofol, 1 μg/kg fentanyl, 0.6 mg/kg rocuronium. Anesthesia was maintained by remifentanil infusion and 1 MAC desflurane. After the surgery, TAP block and rectus sheath block performed in supine position. Blocks were done under ultrasound guidance. After the block, patients were extubated. At the end of the surgery patients were administered 1g paracetamol and tramadol 50 mg intravenous. Patients had intravenous tramadol PCA (only bolus dose 10 mg). Rescue analgesia was planned as tramadol 50 mg boluses if VAS scores were above 4 in recovery unit. Neither patient required rescue analgesia nor PCA bolus doses in recovery unit. All patients were satisfied with the analgesia quality. TAP block and rectus sheet block is a very effective combination in robotic prostate surgeries. Perhaps the most important thing is the selection of the most effective analgesic method that contributes to the rapid recovery of the patient.</p>

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