Dr Ang Wei Wen

Moderator: Dr Nabilah Binti Abdul Ghani

13 June 2025

Learning Objectives:

• Recognize the unique physiological and logistical challenges of robotic-assisted surgery.
• Understand how to optimize ventilation, anesthesia depth, and fluid strategies tailored to robotic procedures.
• Anticipate and manage potential complications including airway edema, positioning injuries, and CO₂-related changes.
• Enhance safety through preoperative planning, communication, and emergency protocols in robotic environments

Conclusion:

• Robotic surgery presents a unique interplay of surgical innovation and anesthetic complexity.
• The anesthesiologist’s role is critical in anticipating and managing physiological changes resulting from pneumoperitoneum, steep Trendelenburg positioning, prolonged operative times and difficult airway management
• A successful anesthetic plan involves vigilant preoperative assessment, precise intraoperative monitoring, advanced airway and ventilation strategies, and proactive postoperative planning.

• Mastery of these techniques not only improves patient safety and outcomes but also enhances collaboration within the multidisciplinary surgical team.

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