Respiratory failure & ventilation

Mechanical power during robotic-assisted laparoscopic prostatectomy: an observational study

J Clin Monit ComputPublished Prospective observational study

Authors' conclusion

Mechanical power in healthy patients undergoing RALP significantly increased both during the pneumoperitoneum and Trendelenburg position and in supine position after surgery.

Study context

Population
Patients scheduled for robotic-assisted laparoscopic radical prostatectomy (RALP)prospectively enrolled
Participants
61 patients
Exposure
Pneumoperitoneum and Trendelenburg vs Supine before surgery
Outcome
Total mechanical power and its components
Methodological detailsconstant ventilatory setting, positive end-expiratory pressure (PEEP) subgroup (n = 17)
  • Constant ventilatory setting
  • PEEP subgroup (n = 17)

Main finding

As reported in the abstract

Total mechanical power

P < 0.001

Observational data: associations, not effects.

Further findings

Total mechanical power, PEEP 5 vs 10 cmH2O (subgroup of 17) · Supine before surgery

P < 0.001

Total mechanical power, PEEP 5 vs 10 cmH2O (subgroup of 17) · Pneumoperitoneum and Trendelenburg

P < 0.001

Total mechanical power, PEEP 5 vs 10 cmH2O (subgroup of 17) · Supine after surgery

P < 0.001

Total mechanical power, PEEP 5 vs 10 cmH2O (subgroup of 17) · Supine after surgery

Increasing PEEP did not affect respiratory system elastance

Original publication

Mechanical power during robotic-assisted laparoscopic prostatectomy: an observational study. J Clin Monit Comput. Published 17 June 2024. doi:10.1007/s10877-024-01170-1

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