Anesthesiology Solutions
Struggling to manage laparoscopic patients? AirSeal® may be able to help.
Struggling to manage laparoscopic patients? AirSeal® may be able to help.
Anesthesia metrics and postoperative pain scores were both shown to improve in recent studies using AirSeal® at lower pressure.1-8 Also, you may stabilize hemodynamics and improve respiratory parameters at low pressure without compromising your surgeon's visibility.
I have noticed a significant decrease in peak inspiratory airway pressure and mean airway pressure while using the AirSeal® system. These benefits are extremely important when taking care of obese patients who have increased airway resistance and decreased pulmonary compliance from baseline.
Gabriel Eduardo Mena, MD
We see improved physiology during anesthesia with low pressure, allowing for safer operations to be done on more sick patients who have heart and lung disease. Our anesthesia colleagues are in agreement that low pressure surgery has benefits in their ability to provide the best and safest anesthesia.
Sudeep Burman, MD
Explore a wide variety of pulse oximeter equipment that helps monitor the risk of hypoxaemia.
Detect disturbances of cardiac rhythm during procedures with our storied electrode family.
1 Ramshaw B, Forman B, Heidel E, Dean J, Gamenthaler A, Fabian M. A Clinical Quality Improvement (CQI) Project to Improve Pain After Laparoscopic Ventral Hernia Repair. Surg Technol Int. 2016;29:125-130.
2 Ferroni MC, Abaza R. Feasibility of robot-assisted prostatectomy performed at ultra-low pneumoperitoneum pressure of 6 mmHg and comparison of clinical outcomes vs standard pressure of 15 mmHg. BJU Int. 2019;124(2):308-313. doi:10.1111/bju.14682.
3 Ramshaw B, Vetrano V, Jagadish M, Forman B, Heidel E, Mancini M. Laparoscopic approach for the treatment of chronic groin pain after inguinal hernia repair : Laparoscopic approach for inguinodynia. Surg Endosc. 2017;31(12):5267-5274. doi:10.1007/s00464-017-5600-3.
4 Foley CE, Ryan E, Huang JQ. Less is more: clinical impact of decreasing pneumoperitoneum pressures during robotic surgery. J Robot Surg. 2021;15(2):299-307. doi:10.1007/s11701-020-01104-4.
5 Saway JP, McCaul M, Mulekar MS, McMahon DP, Richards WO. Review of Outcomes of Low Verses Standard Pressure Pneumoperitoneum in Laparoscopic Surgery. Am Surg. 2022;88(8):1832-1837. doi:10.1177/00031348221084956.
6 Abaza R, Martinez O, Ferroni MC, Bsatee A, Gerhard RS. Same Day Discharge after Robotic Radical Prostatectomy. J Urol. 2019;202(5):959-963. doi:10.1097/JU.0000000000000353.
7 Buda A, Di Martino G, Borghese M, et al. Low-Pressure Laparoscopy Using the AirSeal System versus Standard Insufflation in Early-Stage Endometrial Cancer: A Multicenter, Retrospective Study (ARIEL Study). Healthcare (Basel). 2022;10(3):531. Published 2022 Mar 14. doi:10.3390/healthcare10030531.
8 Celarier S, Monziols S, Célérier B, et al. Low-pressure versus standard pressure laparoscopic colorectal surgery (PAROS trial): a phase III randomized controlled trial. Br J Surg. 2021;108(8):998-1005. doi:10.1093/bjs/znab069.
9 Review of Outcomes of Low Verses Standard Pressure Pneumoperitoneum in Laparoscopic Surgery John P. Saway, BS, Megan McCaul, MD, Madhuri S. Mulekar, PhD, Daniel P. McMahon, MD, and William O. Richards, MD, The American Surgeon 2022, Vol. 0(0) 1–6.
10 Comparison of Pneumoperitoneum Stability Between a Valveless Trocar System and Conventional Insufflation: A Prospective Randomized Trial. Bucur P, Hofmann M, Menhadji A, Abedi G, Okhunov Z, Rinehart J, Landman J. Urology. 2016 Aug; 94:274-80.
11 A Prospective, Randomized, Clinical Trial on the Effects of a Valveless Trocar on Respiratory Mechanics During Robotic Radical Cystectomy: A Pilot Study. Covotta M, Claroni C, Torregiani G, Naccarato A, Tribuzi S, Zinilli A, Forastiere E. Anesth Analg. 2017 Jun;124(6):1794-1801.
12 Abaza R, Ferroni, M. Randomized Trial of Ultralow vs Standard Pneumoperitoneum during Robotic Prostatectomy. J Urol. 2022 Sep;208(3):626-632. doi: 10.1097/JU.0000000000002729. Epub 2022 May 2.
13 Laparoscopic surgery at low (7 mmHg) pressure with AirSeal system. A comparative prospective pilot study with a standard insufflation (15 mm Hg) in 60 patients. Sroussi J, Elies A, Rigouzzo A, Louvet N, Mezzadri M, Fazel A, Benifla J. J Gynecol Obstet Hum Reprod. 2017 Feb;46(2):155-158.