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Lutfarakhmanov I.I.

Bashkir State Medical University

Melnikova I.A.

Bashkir State Medical University

Syrchin E.Yu.

Bashkir State Medical University

Asadullin V.F.

Bashkir State Medical University

Korelov Yu.A.

Bashkir State Medical University

Pavlov V.N.

Bashkir State Medical University

Safiullin R.I.

Bashkir State Medical University

Mironov P.I.

Bashkir State Medical University

Changes in respiratory mechanics and gas exchange in robot-assisted radical prostatectomy

Authors:

Lutfarakhmanov I.I., Melnikova I.A., Syrchin E.Yu., Asadullin V.F., Korelov Yu.A., Pavlov V.N., Safiullin R.I., Mironov P.I.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2020;(4): 61‑68

DOI: 10.17116/anaesthesiology202004161

Read: 2144 times

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Table of contents

CHANGES IN RESPIRATORY MECHANICS AND GAS EXCHANGE IN ROBOT-ASSISTED RADICAL PROSTATECTOMY
CHANGES IN RESPIRATORY MECHANICS AND GAS EXCHANGE IN ROBOT-ASSISTED RADICAL PROSTATECTOMY

To cite this article:

Lutfarakhmanov II, Melnikova IA, Syrchin EYu, et al. . Changes in respiratory mechanics and gas exchange in robot-assisted radical prostatectomy. Russian Journal of Anesthesiology and Reanimatology. 2020;(4):61‑68. (In Russ.)
https://doi.org/10.17116/anaesthesiology202004161

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Abstract:

OBJECTIVE

To analyze the effect of various types of anesthesia on respiratory mechanics and gas exchange during robot-assisted radical prostatectomy (RARP) in patients with normal body mass index.

MATERIAL AND METHODS

Thirty-one patients were included in the inhalation anesthesia group or total intravenous anesthesia group. Peak airway pressure, plateau airway pressure and dynamic lung compliance were assessed after tracheal intubation (T2); pneumoperitoneum (T3); Trendelenburg positioning (TrP) (T4); during dissection of dorsal venous complex (TrP 300 and pneumoperitoneum 25 mm Hg, T5); after horizontal positioning and at the end of surgery (T6 and T7). Statistical processing was performed by using of ANOVA univariate variance analysis with Bonferroni correction.

RESULTS

Univariate variance analysis revealed significant decrease of peak airway pressure and plateau airway pressure with an increase of dynamic lung compliance in the inhalation anesthesia group (T2—T7; p<0.001; p<0.001; p<0.05, respectively). There were no perioperative cardiovascular or respiratory complications.

CONCLUSION

Inhalation anesthesia reduces airway pressure and increases dynamic lung compliance without adverse respiratory and hemodynamic effects in patients undergoing RARP.

Keywords:

robot-assisted radical prostatectomy
respiratory mechanics
gas exchange
general anesthesia

Authors:

Lutfarakhmanov I.I.

Bashkir State Medical University

Melnikova I.A.

Bashkir State Medical University

Syrchin E.Yu.

Bashkir State Medical University

Asadullin V.F.

Bashkir State Medical University

Korelov Yu.A.

Bashkir State Medical University

Pavlov V.N.

Bashkir State Medical University

Safiullin R.I.

Bashkir State Medical University

Mironov P.I.

Bashkir State Medical University

Received:

29.03.2020

Accepted:

25.05.2020

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