Keywords:
robotic-assisted surgery
anaesthesia management
pneumoperitoneum
patient positioning
Enhanced Recovery After Surgery (ERAS)
artificial intelligence (AI)

  • Abstract

    Robotic-assisted surgeries (RASs) have revolutionised surgical practices, offering unparalleled precision, reduced invasiveness, and improved patient outcomes. However, the complex nature of these procedures presents unique challenges for anaesthetic management. This review explores the critical role of anaesthesia in ensuring the success and safety of RAS, emphasising the physiological and logistical considerations that distinguish it from traditional surgeries. Key challenges include the physiological effects of pneumoperitoneum, steep patient positioning, and restricted patient access due to the robotic apparatus. These factors demand tailored anaesthetic strategies to maintain haemodynamic stability, optimise ventilation, and prepare for emergency interventions. Additionally, prolonged surgical durations and the specific needs of vulnerable populations, such as pediatric and geriatric patients, require individualised anaesthetic approaches. Emerging trends, including the integration of artificial intelligence (AI) for predictive modelling, advancements in total intravenous anaesthesia (TIVA), and the adaptation of enhanced recovery after surgery (ERAS) protocols to robotic procedures, hold promise for advancing anaesthetic care in this field. This review highlights the importance of a multidisciplinary approach that incorporates surgeons, anesthesiologists, and nurses to address the unique demands of RAS. By examining current challenges, providing practical strategies, and exploring future directions, this article aims to serve as a comprehensive resource for healthcare professionals navigating the intersection of robotics and anaesthetic care. The ongoing evolution of robotic technologies and anaesthetic practices underscores the need for continuous research, education, and collaboration to optimise patient outcomes and ensure safety in this rapidly advancing field.

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Souvik, D. S., & Madavi, D. S. (2025). Navigating anaesthesia challenges in robotic-assisted surgeries: A comprehensive review. Multidisciplinary Reviews, (| Accepted Articles). Retrieved from https://malque.pub/ojs/index.php/mr/article/view/7893
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