Soluciones de Anestesiología
Reducir las complicaciones relacionadas con gases en cirugía mínimamente invasiva (MIS)1-9
Un enfoque basado en datos que beneficia al paciente y al equipo perioperatorio
Se demostró que las métricas de anestesia y las puntuaciones de dolor posoperatorio mejoran en estudios recientes utilizando AirSeal® a menor presión.1-8 Además, puede estabilizar la hemodinámica y mejorar los parámetros respiratorios a baja presión sin comprometer la visibilidad de su cirujano.
Al operar con AirSeal® a menor presión, usted puede:
Reducir etCO27,10-14
Reducir la presión de las vías respiratorias4,7,10,12-14
Reducir la presión arterial2,7,14
Mejorar el volumen minuto4,12
Aumentar la compliancia pulmonar12
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.