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Paediatric transoral robotic-assisted adenotonsillectomy: a new anaesthetic experience in Malaysia / Zawiah Kassim … [et al.]

Safety and feasibility of transoral robotic surgery (TORS) in adults for otolaryngology surgery, mainly in the treatment of oropharyngeal carcinoma and obstructive sleep apnoea has already been established several years ago. However, less is known with respect to the role and safety of TORS for otol...

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Main Authors: Kassim, Zawiah, Ahmad, Fauziah, Mustapha Kamar, Rusnaini, Misiran, Karis
Format: Article
Language:English
Published: Universiti Teknologi MARA Cawangan Selangor 2019
Subjects:
Computer applications to medicine. Medical informatics
Neural Networks (Computer). Artificial intelligence
Online Access:http://ir.uitm.edu.my/id/eprint/30120/1/AJ_ZAWIAH%20KASSIM%20JCHS%20B%2019.pdf
http://ir.uitm.edu.my/id/eprint/30120/
https://jchs-medicine.uitm.edu.my/images/manuscript/vol4issue2/case_report/cr3/3PaediatricTransoralRobotic-AssistedAdenotonsillectomyANewAnaestheticExperienceinMalaysia.pdf
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spelling my.uitm.ir.301202020-04-22T05:50:53Z http://ir.uitm.edu.my/id/eprint/30120/ Paediatric transoral robotic-assisted adenotonsillectomy: a new anaesthetic experience in Malaysia / Zawiah Kassim … [et al.] Kassim, Zawiah Ahmad, Fauziah Mustapha Kamar, Rusnaini Misiran, Karis Computer applications to medicine. Medical informatics Neural Networks (Computer). Artificial intelligence Safety and feasibility of transoral robotic surgery (TORS) in adults for otolaryngology surgery, mainly in the treatment of oropharyngeal carcinoma and obstructive sleep apnoea has already been established several years ago. However, less is known with respect to the role and safety of TORS for otolaryngology surgery in the paediatric age group and its description in the literature is currently insufficient. As paediatric patients are unique in their anatomy, physiology and pharmacological kinetic, special attention and consideration has to be applied when using TORS, hence this increases the perioperative challenges. Herewith we present our experience in anaesthetising a paediatric patient for TORS adenotonsillectomy which is the first not only in our centre but in Malaysia. Our major obstacle was the limited airway access as the area of concern was shared by the anaesthesiologist, surgeon and also the robotic system. Haemodynamic stabilisation was a challenge compared to the conventional method as the operative time increased due to robot docking time and the new surgical learning process. In our opinion, the key point for the success of TORS adenotonsillectomy in paediatric patients is good communication and teamwork between all personnel involved in the surgery. Universiti Teknologi MARA Cawangan Selangor 2019-12 Article PeerReviewed text en http://ir.uitm.edu.my/id/eprint/30120/1/AJ_ZAWIAH%20KASSIM%20JCHS%20B%2019.pdf Kassim, Zawiah and Ahmad, Fauziah and Mustapha Kamar, Rusnaini and Misiran, Karis (2019) Paediatric transoral robotic-assisted adenotonsillectomy: a new anaesthetic experience in Malaysia / Zawiah Kassim … [et al.]. Journal of Clinical and Health Science, 4 (2). pp. 1-6. ISSN 0127 – 984X https://jchs-medicine.uitm.edu.my/images/manuscript/vol4issue2/case_report/cr3/3PaediatricTransoralRobotic-AssistedAdenotonsillectomyANewAnaestheticExperienceinMalaysia.pdf
institution Universiti Teknologi Mara
building Tun Abdul Razak Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Teknologi Mara
content_source UiTM Institutional Repository
url_provider http://ir.uitm.edu.my/
language English
topic Computer applications to medicine. Medical informatics
Neural Networks (Computer). Artificial intelligence
spellingShingle Computer applications to medicine. Medical informatics
Neural Networks (Computer). Artificial intelligence
Kassim, Zawiah
Ahmad, Fauziah
Mustapha Kamar, Rusnaini
Misiran, Karis
Paediatric transoral robotic-assisted adenotonsillectomy: a new anaesthetic experience in Malaysia / Zawiah Kassim … [et al.]
description Safety and feasibility of transoral robotic surgery (TORS) in adults for otolaryngology surgery, mainly in the treatment of oropharyngeal carcinoma and obstructive sleep apnoea has already been established several years ago. However, less is known with respect to the role and safety of TORS for otolaryngology surgery in the paediatric age group and its description in the literature is currently insufficient. As paediatric patients are unique in their anatomy, physiology and pharmacological kinetic, special attention and consideration has to be applied when using TORS, hence this increases the perioperative challenges. Herewith we present our experience in anaesthetising a paediatric patient for TORS adenotonsillectomy which is the first not only in our centre but in Malaysia. Our major obstacle was the limited airway access as the area of concern was shared by the anaesthesiologist, surgeon and also the robotic system. Haemodynamic stabilisation was a challenge compared to the conventional method as the operative time increased due to robot docking time and the new surgical learning process. In our opinion, the key point for the success of TORS adenotonsillectomy in paediatric patients is good communication and teamwork between all personnel involved in the surgery.
format Article
author Kassim, Zawiah
Ahmad, Fauziah
Mustapha Kamar, Rusnaini
Misiran, Karis
author_facet Kassim, Zawiah
Ahmad, Fauziah
Mustapha Kamar, Rusnaini
Misiran, Karis
author_sort Kassim, Zawiah
title Paediatric transoral robotic-assisted adenotonsillectomy: a new anaesthetic experience in Malaysia / Zawiah Kassim … [et al.]
title_short Paediatric transoral robotic-assisted adenotonsillectomy: a new anaesthetic experience in Malaysia / Zawiah Kassim … [et al.]
title_full Paediatric transoral robotic-assisted adenotonsillectomy: a new anaesthetic experience in Malaysia / Zawiah Kassim … [et al.]
title_fullStr Paediatric transoral robotic-assisted adenotonsillectomy: a new anaesthetic experience in Malaysia / Zawiah Kassim … [et al.]
title_full_unstemmed Paediatric transoral robotic-assisted adenotonsillectomy: a new anaesthetic experience in Malaysia / Zawiah Kassim … [et al.]
title_sort paediatric transoral robotic-assisted adenotonsillectomy: a new anaesthetic experience in malaysia / zawiah kassim … [et al.]
publisher Universiti Teknologi MARA Cawangan Selangor
publishDate 2019
url http://ir.uitm.edu.my/id/eprint/30120/1/AJ_ZAWIAH%20KASSIM%20JCHS%20B%2019.pdf
http://ir.uitm.edu.my/id/eprint/30120/
https://jchs-medicine.uitm.edu.my/images/manuscript/vol4issue2/case_report/cr3/3PaediatricTransoralRobotic-AssistedAdenotonsillectomyANewAnaestheticExperienceinMalaysia.pdf
_version_ 1685650612377616384
score 13.211869

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