Download e-book for kindle: Robotic Cardiac Surgery by Changqing Gao MD (auth.), Changqing Gao (eds.)

By Changqing Gao MD (auth.), Changqing Gao (eds.)

ISBN-10: 9400776594

ISBN-13: 9789400776593

ISBN-10: 9400776608

ISBN-13: 9789400776609

Robotic Cardiac surgical procedure is a finished advisor to robotic/totally endoscopic cardiac surgical procedure. The publication is meant to supply in-depth information about the historical past of robot surgical platforms, their parts and rules. It emphasizes sufferer choice, perioperative administration, anesthesia concerns and administration, operative options and administration, postoperative care and effects. vast, designated pictures and illustrations of alternative types of robot surgical procedure also are integrated. It offers cardiac surgeons, cardiac anesthesiologists, and perfusionists with a finished evaluate of present robot cardiac surgical procedures and similar knowledge.

Changqing Gao, MD, is a professor on the division of Cardiovascular surgical procedure, PLA normal health facility, Beijing, China.

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Extra resources for Robotic Cardiac Surgery

Example text

Advances and experience in beating heart surgery have aided this approach. The first closed-chest CABG surgery with the aid of robotic instruments was performed on human in June 1998 [70]. Thereafter, the technique of robotic assisted CABG has achieved perfection. Technical advances in minimally invasive surgery have enabled CABG to be performed through very small ports. Sternotomy alone carries a finite risk of morbidity from an inflammatory response, but it is less than that of exposure to cardiopulmonary bypass [71, 72].

A recent case report [58] described a brachial plexus injury in an 18-year-old male after robot-assisted thoracoscopic thymectomy. In this report the left upper limb was in slight hyperabduction. In some centers, the arm of the elevated side is hanged above the head. The elevated arm should be protected by using a sling resting device [59]. Before the arm of the robot is in the chest cavity, a complete lung collapse must be maintained throughout the 22 procedure. Robotic surgery with the da Vinci Surgical System does not allow for changes in patient position on the operating table once the robot has been docked.

Slinger et al. [85] found that the side of position to be one of the important factor in predicting hypoxemia during OLV, which may be relevant to the fact that the right lung is larger than the left one. A recently study also found that, while ventilating with an FiO2 of 1, mean arterial oxygen tension was approximately 280 mmHg on the left-sided as compared with approximately 170 mmHg on the right-sides thoracic operation during OLV [86]. Secondly, the airway is narrowed because of the use of double-lumen endotracheal tube, prolonging alveolar emptying time.

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Robotic Cardiac Surgery by Changqing Gao MD (auth.), Changqing Gao (eds.)

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