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Anesthetic management for robotic hysterectomy in obese women.

Publication ,  Journal Article
Yurashevich, M; Habib, AS
Published in: Curr Opin Anaesthesiol
June 1, 2021

PURPOSE OF REVIEW: Obesity is a major health epidemic, with the prevalence reaching ∼40% in the United States in recent years. It is associated with increased risk of hypertension, diabetes, heart disease, stroke, obstructive sleep apnea (OSA), and gynecologic conditions requiring surgery. Those comorbidities, in addition to the physiologic changes associated with obesity, lead to increased risk of perioperative complications. The purpose of this review is to highlight the anesthetic considerations for robotic assisted hysterectomy in obese patients. RECENT FINDINGS: In the general gynecologic population, minimally invasive surgery is associated with less postoperative fever, pain, hospital length of stay, total cost of care and an earlier return to normal function. This also applies to robotic surgery in obese patients, which is on the rise. The physiologic changes of obesity bring different anesthetic challenges, including airway management and intraoperative ventilation. Vascular access and intraoperative blood pressure monitoring can also be challenging and require modifications. Optimizing analgesia with a focus on opioid-sparing strategies is crucial due to the increased prevalence of OSA in this patient population. SUMMARY: Anesthesia for obese patients undergoing robotic hysterectomy is challenging and must take into consideration the anatomic and physiologic changes associated with obesity.

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Published In

Curr Opin Anaesthesiol

DOI

EISSN

1473-6500

Publication Date

June 1, 2021

Volume

34

Issue

3

Start / End Page

238 / 245

Location

United States

Related Subject Headings

  • Robotic Surgical Procedures
  • Postoperative Complications
  • Obesity
  • Hysterectomy
  • Humans
  • Female
  • Anesthetics
  • Anesthesiology
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
 

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Yurashevich, M., & Habib, A. S. (2021). Anesthetic management for robotic hysterectomy in obese women. Curr Opin Anaesthesiol, 34(3), 238–245. https://doi.org/10.1097/ACO.0000000000000987
Yurashevich, Mary, and Ashraf S. Habib. “Anesthetic management for robotic hysterectomy in obese women.Curr Opin Anaesthesiol 34, no. 3 (June 1, 2021): 238–45. https://doi.org/10.1097/ACO.0000000000000987.
Yurashevich M, Habib AS. Anesthetic management for robotic hysterectomy in obese women. Curr Opin Anaesthesiol. 2021 Jun 1;34(3):238–45.
Yurashevich, Mary, and Ashraf S. Habib. “Anesthetic management for robotic hysterectomy in obese women.Curr Opin Anaesthesiol, vol. 34, no. 3, June 2021, pp. 238–45. Pubmed, doi:10.1097/ACO.0000000000000987.
Yurashevich M, Habib AS. Anesthetic management for robotic hysterectomy in obese women. Curr Opin Anaesthesiol. 2021 Jun 1;34(3):238–245.

Published In

Curr Opin Anaesthesiol

DOI

EISSN

1473-6500

Publication Date

June 1, 2021

Volume

34

Issue

3

Start / End Page

238 / 245

Location

United States

Related Subject Headings

  • Robotic Surgical Procedures
  • Postoperative Complications
  • Obesity
  • Hysterectomy
  • Humans
  • Female
  • Anesthetics
  • Anesthesiology
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology