2024年7月11日木曜日
Loco-Regional #Anesthesia for Pain Management in #Robotic_Thoracic_Surgery #Labtech_Holter #VitalStream #Caretaker_Medical #Pedcath8 #Mennen_Medical #Heart_Vest_gTec #メディカルテクニカ
Loco-Regional Anesthesia for Pain Management in Robotic
Thoracic Surgery
Luigi La Via 1,* , Marco Cavaleri 1
, Alberto Terminella 2
, Massimiliano Sorbello 3 and Giacomo Cusumano 2,4
1 Department of Anesthesia and Intensive Care, Azienda Ospedaliera Universitaria Policlinico
“G. Rodolico-San Marco”, 95123 Catania, Italy; cavalerimarco@hotmail.it
Abstract: Robotic thoracic surgery is a prominent minimally invasive approach for the treatment of
various thoracic diseases. While this technique offers numerous benefits including reduced blood
loss, shorter hospital stays, and less postoperative pain, effective pain management remains crucial
to enhance recovery and minimize complications. This review focuses on the application of various
loco-regional anesthesia techniques in robotic thoracic surgery, particularly emphasizing their role in
pain management. Techniques such as local infiltration anesthesia (LIA), thoracic epidural anesthesia
(TEA), paravertebral block (PVB), intercostal nerve block (INB), and erector spinae plane block
(ESPB) are explored in detail regarding their methodologies, benefits, and potential limitations. The
review also discusses the imperative of integrating these anesthesia methods with robotic surgery to
optimize patient outcomes. The findings suggest that while each technique has unique advantages,
the choice of anesthesia should be tailored to the patient’s clinical status, the complexity of the
surgery, and the specific requirements of robotic thoracic procedures. The review concludes that
a multimodal analgesia strategy, potentially incorporating several of these techniques, may offer
the most effective approach for managing perioperative pain in robotic thoracic surgery. Future
directions include refining these techniques through technological advancements like ultrasound
guidance and exploring the long-term impacts of loco-regional anesthesia on patient recovery and
surgical outcomes in the context of robotic thoracic surgery.
#VitalStream
#VitalStream_caretaker #Cardiac_Output #Artificial_Stiffness #Blood_Flow #Stroke_Volume #Care_during_after_Cardiovascular_Surgery #Labtech_Holter #Arteriograph_ArtificialStiffness #Pedcath8_MennenMedical #Cardionics_Stethoscope_SingalOutput #Nevrokard_AutonomicNerves #wavelet_algorithm
#メディカルテクニカ #Labtech_Holter #生体情報 #Heart_vest_gTec #Pedcath8 #Mennen_Medical #Vectorcardiography_Labtech_Holter #VitalStream_Caretaker_Medical #Pedcath8_Mennen_Medical #wvelet_algorithm #Piston_Medical_COanalysi