麻酔科ソリューション

低侵襲手術（MIS）におけるガス関連合併症の低減1-9

患者と周術期チームに利益をもたらすデータ主導のアプローチ

AirSeal® を低圧で使用した最近の研究では、麻酔指標と術後疼痛スコアの両方が改善することが示された。1-8 また、外科医の視界を損なうことなく、低圧で血行動態を安定させ、呼吸パラメーターを改善することができます。

データをダウンロードする

低圧でAirSeal®を使用することで、次のことが期待できます：

etCO27,10-14の低減

気道内圧の低減4,7,10,12-14

血圧の低減2,7,14

分時換気量の改善4,12

肺コンプライアンスの向上12

"低圧麻酔では、生理機能が改善され、心疾患や肺疾患を持つより多くの患者に対して、より安全な手術が行えるようになります。 私たちの麻酔科の同僚たちは、低圧手術が最善で最も安全な麻酔を提供できる利点があることに同意しています。"

Sudeep Burman, MD

Featured Solutions

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.