RT Book, Section
A1 Cereda, Maurizio
A1 Kennedy, Sean
A2 Longnecker, David E.
A2 Brown, David L.
A2 Newman, Mark F.
A2 Zapol, Warren M.
SR Print(0)
ID 56647167
T1 Chapter 61. Anesthetic Considerations for Genitourinary and Renal Surgery
T2 Anesthesiology, 2e
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-178513-6
LK accessanesthesiology.mhmedical.com/content.aspx?aid=56647167
RD 2024/04/25
AB Anesthetic  management  of  urologic  patients  requires  confidence  with  the  management  of  elderly  patients  who  typically  have  multiple  comorbidities.Surgical  positioning  is  often  complex  and  exposes  the  patient  to  the  risk  of  severe  complications.Most  endourologic  procedures  can  be  safely  accomplished  with  either  general  or  regional  anesthesia.  The  anesthetic  plan  can  be  tailored  to  patient  characteristics  and  individual  preferences.Urologic  cancer  requires  highly  invasive  surgeries  that  have  a  high  risk  of  complications.  Patients  undergoing  these  procedures  require  thorough  physiologic  monitoring  and  proactive  hemodynamic,  respiratory,  and  analgesic  management.Despite  an  unclear  clinical  benefit,  the  use  of  minimally  invasive  and  robotic  surgery  in  urology  is  increasing  rapidly.  These  procedures  may  require  prolonged  pneumoperitoneum  and  head-down  positioning,  introducing  a  new  set  of  clinical  challenges  to  anesthesiologists.