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• W2803583670 abstract "On September 2, 1998, the first robotic case in the United States using the da Vinci System was performed at The Ohio State University as part of a clinical trial for the Food and Drug Administration to get approval for clinical use. This innovation in surgical technique utilizing the robot has taken the medical field by storm and is celebrated across multiple surgical specialties. Perioperative Management in Robotic Surgery (1st edition), the first medical book published by 2 anesthesiologist editors, Alan Kaye and Richard Urman, documents the progress made since our first case. The book is divided into 4 sections. The first section focuses on the history, credentialing, and different types of robotic technology. Chapter 1 discuss the history of robotic surgery. Chapter 2 deals with credentialing for robotic surgery, which includes the medicolegal issues stemming from the injuries that medical malpractice attorneys watch and see as new opportunities. However, there is nothing in the discussion about the need for formal anesthesiologist training like that of the surgeons. Chapter 3 discusses the robotic technology that offers several benefits over the traditional laparoscopic equipment. The second section focuses on the physiologic effect of pneumoperitoneum, positioning, and consideration for patients with comorbidities including pregnant and fetal patients. I wish chapters 4 and 18 were merged together to include the physiologic effect of pneumoperitoneum and complications in 1 chapter. The 2 thoracic chapters, 11 and 12, focus on surgical techniques without much detail about the special skills required for the anesthesiologist and the rest of the perioperative team. The reader has to wait until chapter 18 to learn about the effect of pneumothorax with CO2 on cardiopulmonary physiology, the difference between the insufflation in the rigid chest and the abdomen and complications including barotrauma. Hopefully, in the next edition, these 2 chapters will focus more on the multidisciplinary team approach and the absolute need for perfect lung isolation with difficult airways, which is of interest to anesthesiologists. On the other hand, the chapter on robotic cardiac anesthesia highlights an important aspect and provides practical tips to anesthesiologists including the importance of communication between all members of the team leading to a successful robotic cardiac program. The third section focuses on anesthetic consideration in different subspecialties—general, colorectal, gynecology, urology, neurosurgery, and fetal surgery. Chapter 7 describes general and colorectal robotic cases including preoperative management, patient positioning, physiologic changes, and complications like in chapters 4 and 18. This chapter includes postoperative management with a focus on enhanced recovery after surgery with all of its elements. Chapters 8 and 9 describe the gynecologic and urological robotic surgeries which are the majority of cases done in the United States. Both chapters are written about how to perform the surgery and describe surgical techniques used by surgical teams. In chapter 8, it follows every procedure with its surgical complication, while chapter 9 focuses only on the surgical techniques. Both chapters mention the special risk of postoperative vision loss. We have an unpublished case of vision loss after robotic cystectomy. Chapter 13 is well written with specific clinical tips for the practitioner who will provide anesthesia for transoral robotic surgery with special emphasis on the perioperative management of transoral laser microsurgery and transoral robotic surgery. Chapter 14 discusses robotic technology in neurosurgery and summarizes past, present, and future directions in neurosurgery. Interestingly, the da Vinci System is not included so far in neurosurgical subspecialties in spite of its dominance in other subspecialties and the chapter did not address this area. Chapters 15 and 16 describe organ transplant—kidney, liver, and pancreas transplant with robotic surgery, mainly focusing on the experience of the pioneers at the University of Chicago. Chapter 17 discusses fetal surgery and robotic surgery which is Food and Drug Administration approved but with no clinical experience published so far. Finally, chapter 19 discusses the role of multimodal analgesia. The fourth and final section in the last 3 chapters discusses the ripple effect of the current technology, which includes multiple facets of technical skills training and requirements, market forces, and costs that altogether shape the spread of this wave of technology. Finally, it discusses where we are and what the future of robotic surgery holds. This book is an excellent read for the clinical anesthesiologist and certified registered nurse anesthetist who provides anesthesia to these cases and for future medical students and residents across subspecialties who will master these techniques and provide us with the next robotic revolution. I do believe the future is very bright for robotics in medicine and we are just witnessing the beginning. Hamdy Awad, MDDepartment of AnesthesiologyThe Ohio State University Wexner Medical CenterColumbus, Ohio[email protected]" @default.
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• W2803583670 title "Perioperative Management in Robotic Surgery, 1st ed" @default.
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