All 50 cases of robotic atrial septal defect repair anesthesia Methods.docVIP

 PAGE \* MERGEFORMAT 6 All 50 cases of robotic atrial septal defect repair anesthesia Methods Author: Zhou Qi, Wang Gang, Gao Changqing, CHEN Ting-ting [Abstract] Objective To review the 50 cases using the da Vinci S Surgical System robot line of atrial septal defect without thoracotomy Anesthetic management. Methods 50 cases of atrial septal defect were operated under cardiopulmonary bypass during general anesthesia by the da Vinci S Surgical System operation is complete. Anesthesia was induced with etomidate, lidocaine, Pipecuronium and sufentanil intravenous injection, induced by the left side of double-lumen endobronchial tube insertion, intraoperative transesophageal echocardiography for continuous monitoring, bispectral index, hemodynamics and Arterial blood gas analysis. Results All patients had successful completion of surgery and no perioperative deaths. Before bypass, 32 cases (64%) patients after one-lung ventilation pulse oxygen saturation (SpO2) decreased (94.5% ± 1.2%), without making a special treatment; offline later, 14 cases (28%) patients SpO2 progressively decreased, of which 9 cases (18%) in the use of continuous positive airway pressure airway devices (CPAP), after mitigation, there are 5 cases (10%) require intermittent line of lung ventilation to maintain a stable breathing and circulation. The average anesthesia time (254.2 ± 37.6) min, cardiopulmonary bypass time (76.5 ± 22.4) min, aortic clamping time (38.4 ± 19.5) min, postoperative ventilation time (3.2 ± 2.5) h, ICU stay time ( 1.9 ± 1.3) d, mean postoperative hospital stay (6.2 ± 2.4) d. Intraoperative blood loss (152.5 ± 66.2) ml, postoperative drainage (89.6 ± 41.5) ml. Conclusion whole robot atrial septal defect repair anesthetic management of complex, CO2 pneumothorax, and one-lung ventilation on hemodynamics and respiratory function in a greater impact on anesthesia technology is a new challenge. [Keywords:] anesthesia; heart surgery; robot; da Vinci S Surgical Sy