Effects of steep Trendelenburg position for robotic-assisted prostatectomies on intra- and extrathoracic airways in patients with or without chronic obstructive pulmonary disease.

Journal: British journal of anaesthesia
PMID: 25236948

Abstract

BACKGROUND: The use of the steep Trendelenburg position and abdominal CO2-insufflation during surgery can lead to significant reduction in pulmonary compliance and upper airway oedema. The postoperative time course of these effects and their influence on postoperative lung function is unknown. Therefore, we assessed intra- and extrathoracic airway resistance and nasal air flow in patients with or without chronic obstructive pulmonary disease (COPD) during robotic-assisted prostatectomy.

Authors

  • O F Kilic
    Department of Anaesthesia, Critical Care Medicine and Pain Therapy, Kliniken Essen-Mitte, Henricistr. 92, 45136 Essen, Germany.
  • A Börgers
    Department of Anaesthesia, Critical Care Medicine and Pain Therapy, Kliniken Essen-Mitte, Henricistr. 92, 45136 Essen, Germany.
  • W Köhne
    Department of Anaesthesia, Critical Care Medicine and Pain Therapy, Kliniken Essen-Mitte, Henricistr. 92, 45136 Essen, Germany.
  • M Musch
    Department of Urology, Pediatric Urology, and Urologic Oncology, Kliniken Essen-Mitte, Henricistr. 92, 45136 Essen, Germany.
  • D Kröpfl
    Department of Urology, Pediatric Urology, and Urologic Oncology, Kliniken Essen-Mitte, Henricistr. 92, 45136 Essen, Germany.
  • H Groeben
    Department of Anaesthesia, Critical Care Medicine and Pain Therapy, Kliniken Essen-Mitte, Henricistr. 92, 45136 Essen, Germany h.groeben@kliniken-essen-mitte.de.

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