Pediatric anesthesia & critical care
Effect of retropneumoperitoneum on cerebral and renal oxygen saturation during retroperitoneal robotic-assisted laparoscopic pyeloplasty (R-RALP) in a pediatric population: Preliminary results of a prospective observational study using a dedicated anesthetic protocol and Near-InfraRed Spectroscopy
Authors' conclusion
R-RALP, using a constant retroperitoneal CO2 insufflation pressure of 12 mmHg with a 5 L.min-1 flow, does not adversely affect respiratory and hemodynamics parameters, pending the implementation of a specifically designed anesthetic protocol aimed to prevent hypercapnia, the most threatening effect of retroperitoneal CO2 insufflation.
Study context
- Population
- Children undergoing first elective pyeloplasty for ureteropelvic junction obstruction (UPJO) by retroperitoneal robotic-assisted laparoscopic pyeloplasty (R-RALP) with a dedicated anesthetic protocol
- Participants
- 21 consecutive children
- Outcome
- Standard monitoring and cerebral and renal NIRS during R-RALP
Methodological detailspreliminary results, consecutive patients, Between January 2021 and September 2022
- Preliminary results
- Consecutive patients
- Between January 2021 and September 2022
Main finding
As reported in the abstract
- Standard monitoring and Near InfraRed Spectroscopy (NIRS) measurements not adversely affected by CO2 insufflation
- Significant increase in respiratory rate, aimed to avoid hypercapnia, with ventilation pressure kept within the safety range
Observational data: associations, not effects.
Original publication
Effect of retropneumoperitoneum on cerebral and renal oxygen saturation during retroperitoneal robotic-assisted laparoscopic pyeloplasty (R-RALP) in a pediatric population: Preliminary results of a prospective observational study using a dedicated anesthetic protocol and Near-InfraRed Spectroscopy. Anaesth Crit Care Pain Med. Published 28 April 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →