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Pediatric robotic surgery: issues in management—expert consensus from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP)
BACKGROUND: Pediatric robotic-assisted surgeries have increased in recent years; however, guidance documents are still lacking. This study aimed to develop evidence-based recommendations, or best practice statements when evidence is lacking or inadequate, to assist surgical teams internationally. ME...
Autores principales: | , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Springer US
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9613560/ https://www.ncbi.nlm.nih.gov/pubmed/36121503 http://dx.doi.org/10.1007/s00464-022-09577-0 |
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author | Tesoro, Simonetta Gamba, Piergiorgio Bertozzi, Mirko Borgogni, Rachele Caramelli, Fabio Cobellis, Giovanni Cortese, Giuseppe Esposito, Ciro Gargano, Tommaso Garra, Rossella Mantovani, Giulia Marchesini, Laura Mencherini, Simonetta Messina, Mario Neba, Gerald Rogan Pelizzo, Gloria Pizzi, Simone Riccipetitoni, Giovanna Simonini, Alessandro Tognon, Costanza Lima, Mario |
author_facet | Tesoro, Simonetta Gamba, Piergiorgio Bertozzi, Mirko Borgogni, Rachele Caramelli, Fabio Cobellis, Giovanni Cortese, Giuseppe Esposito, Ciro Gargano, Tommaso Garra, Rossella Mantovani, Giulia Marchesini, Laura Mencherini, Simonetta Messina, Mario Neba, Gerald Rogan Pelizzo, Gloria Pizzi, Simone Riccipetitoni, Giovanna Simonini, Alessandro Tognon, Costanza Lima, Mario |
author_sort | Tesoro, Simonetta |
collection | PubMed |
description | BACKGROUND: Pediatric robotic-assisted surgeries have increased in recent years; however, guidance documents are still lacking. This study aimed to develop evidence-based recommendations, or best practice statements when evidence is lacking or inadequate, to assist surgical teams internationally. METHODS: A joint consensus taskforce of anesthesiologists and surgeons from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP) have identified critical areas and reviewed the available evidence. The taskforce comprised 21 experts representing the fields of anesthesia (n = 11) and surgery (n = 10) from clinical centers performing pediatric robotic surgery in the Italian cities of Ancona, Bologna, Milan, Naples, Padua, Pavia, Perugia, Rome, Siena, and Verona. Between December 2020 and September 2021, three meetings, two Delphi rounds, and a final consensus conference took place. RESULTS: During the first planning meeting, the panel agreed on the specific objectives, the definitions to apply, and precise methodology. The project was structured into three subtopics: (i) preoperative patient assessment and preparation; (ii) intraoperative management (surgical and anesthesiologic); and (iii) postoperative procedures. Within these phases, the panel agreed to address a total of 18 relevant areas, which spanned preoperative patient assessment and patient selection, anesthesiology, critical care medicine, respiratory care, prevention of postoperative nausea and vomiting, and pain management. CONCLUSION: Collaboration among surgeons and anesthesiologists will be increasingly important for achieving safe and effective RAS procedures. These recommendations will provide a review for those who already have relevant experience and should be particularly useful for those starting a new program. |
format | Online Article Text |
id | pubmed-9613560 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-96135602022-10-29 Pediatric robotic surgery: issues in management—expert consensus from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP) Tesoro, Simonetta Gamba, Piergiorgio Bertozzi, Mirko Borgogni, Rachele Caramelli, Fabio Cobellis, Giovanni Cortese, Giuseppe Esposito, Ciro Gargano, Tommaso Garra, Rossella Mantovani, Giulia Marchesini, Laura Mencherini, Simonetta Messina, Mario Neba, Gerald Rogan Pelizzo, Gloria Pizzi, Simone Riccipetitoni, Giovanna Simonini, Alessandro Tognon, Costanza Lima, Mario Surg Endosc Practice Guidelines BACKGROUND: Pediatric robotic-assisted surgeries have increased in recent years; however, guidance documents are still lacking. This study aimed to develop evidence-based recommendations, or best practice statements when evidence is lacking or inadequate, to assist surgical teams internationally. METHODS: A joint consensus taskforce of anesthesiologists and surgeons from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP) have identified critical areas and reviewed the available evidence. The taskforce comprised 21 experts representing the fields of anesthesia (n = 11) and surgery (n = 10) from clinical centers performing pediatric robotic surgery in the Italian cities of Ancona, Bologna, Milan, Naples, Padua, Pavia, Perugia, Rome, Siena, and Verona. Between December 2020 and September 2021, three meetings, two Delphi rounds, and a final consensus conference took place. RESULTS: During the first planning meeting, the panel agreed on the specific objectives, the definitions to apply, and precise methodology. The project was structured into three subtopics: (i) preoperative patient assessment and preparation; (ii) intraoperative management (surgical and anesthesiologic); and (iii) postoperative procedures. Within these phases, the panel agreed to address a total of 18 relevant areas, which spanned preoperative patient assessment and patient selection, anesthesiology, critical care medicine, respiratory care, prevention of postoperative nausea and vomiting, and pain management. CONCLUSION: Collaboration among surgeons and anesthesiologists will be increasingly important for achieving safe and effective RAS procedures. These recommendations will provide a review for those who already have relevant experience and should be particularly useful for those starting a new program. Springer US 2022-09-19 2022 /pmc/articles/PMC9613560/ /pubmed/36121503 http://dx.doi.org/10.1007/s00464-022-09577-0 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Practice Guidelines Tesoro, Simonetta Gamba, Piergiorgio Bertozzi, Mirko Borgogni, Rachele Caramelli, Fabio Cobellis, Giovanni Cortese, Giuseppe Esposito, Ciro Gargano, Tommaso Garra, Rossella Mantovani, Giulia Marchesini, Laura Mencherini, Simonetta Messina, Mario Neba, Gerald Rogan Pelizzo, Gloria Pizzi, Simone Riccipetitoni, Giovanna Simonini, Alessandro Tognon, Costanza Lima, Mario Pediatric robotic surgery: issues in management—expert consensus from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP) |
title | Pediatric robotic surgery: issues in management—expert consensus from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP) |
title_full | Pediatric robotic surgery: issues in management—expert consensus from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP) |
title_fullStr | Pediatric robotic surgery: issues in management—expert consensus from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP) |
title_full_unstemmed | Pediatric robotic surgery: issues in management—expert consensus from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP) |
title_short | Pediatric robotic surgery: issues in management—expert consensus from the Italian Society of Pediatric and Neonatal Anesthesia and Intensive Care (SARNePI) and the Italian Society of Pediatric Surgery (SICP) |
title_sort | pediatric robotic surgery: issues in management—expert consensus from the italian society of pediatric and neonatal anesthesia and intensive care (sarnepi) and the italian society of pediatric surgery (sicp) |
topic | Practice Guidelines |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9613560/ https://www.ncbi.nlm.nih.gov/pubmed/36121503 http://dx.doi.org/10.1007/s00464-022-09577-0 |
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