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Anesthesia for Robotic Cardiac Surgery

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Robotic Cardiac Surgery

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Abstract

Robotic cardiac surgery presents anesthesiologists with new challenges and requires a necessary learning curve. The key issues of anesthesia for robotic cardiac surgery are respiratory and cardiovascular changes associated with the patient’s single-lung ventilation and CO2 pneumothorax, which may reduce cardiac output, increase pulmonary vascular resistance, resulting in hypoxemia and hemodynamic compromise. The magnitude of the physiological disturbances is influenced by the patient’s age, the patient’s underlying myocardial and respiratory function and the anesthetic agents administered. In addition, transesophageal echocardiography is needed for guidance of central venous cannula in establishing peripheral cardiopulmonary bypass. Undoubtedly, anesthesiologist plays a more important role in robotic cardiac surgery than in any other surgeries. This chapter describes anesthetic strategies and clinical experience for robotic cardiac surgery.

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  1. Department of Cardiovascular Surgery, PLA General Hospital, No. 28 Fuxing Road, Beijing, 100853, People’s Republic of China

    Gang Wang MD & Changqing Gao MD

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  1. Gang Wang MD
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  2. Changqing Gao MD
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Correspondence to Changqing Gao MD .

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  1. Department of Cardiovascular Surgery, PLA General Hospital, Beijing, People's Republic of China

    Changqing Gao

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Wang, G., Gao, C. (2014). Anesthesia for Robotic Cardiac Surgery. In: Gao, C. (eds) Robotic Cardiac Surgery. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7660-9_2

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