NIRS monitoring during steep trendelenburg in robotic prostatectomy.

L Campiglia¹, B Matta², Y Santoro³, F Becherucci¹, Iacopo Cappellini⁴, V Pavoni¹

¹Department of Anesthesia and Intensive Care, Nuovo Ospedale di Prato, Prato, Italy.

²Neurosciences Critical Care Unit, Addenbrooke's Hospital, Cambridge, CB2 0QQ, UK.

³Masimo Corp, Irvine, CA, USA.

⁴Department of Anesthesia and Intensive Care, Nuovo Ospedale di Prato, Prato, Italy. iacopo.cappellini@uslcentro.toscana.it.

PubMed DOI

Abstract

Robotic-assisted laparoscopic prostatectomy (RALP) requires steep Trendelenburg positioning and CO₂ pneumoperitoneum, which may significantly influence cerebral hemodynamic homeostasis. While postoperative neurological complications are uncommon, there is concern regarding increased intracranial pressure and potential edema during prolonged procedures. Near-infrared spectroscopy (NIRS) allows cont…

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