I've written in the past about robots, including the Da Vinci Surgical System (shown above). They're amazing technological advances that allow complex surgeries to be done in a non-invasive fashion. At the VA, I provided anesthesia for a few robot surgeries and got to see them in action and from the anesthetic perspective. Unfortunately, they are less favorable from an anesthesia standpoint. Robot surgeries are much longer than their open counterparts, so patients are exposed to more anesthesia. In surgeries such as a robotic prostatectomy, the patient can be positioned in an extreme angle like "steep Trendelenberg," tipped back on their head for hours. And for anesthesia in particular, the robotic arms often get in the way of the patient's head and airway. So from our standpoint, it's not our favorite type of surgery.
Image is in the public domain, from robosapiens.mit.edu.
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