Protective mechanical ventilation in the anesthetic management of gynecological robot-assisted operations (literature review)
https://doi.org/10.24884/2078-5658-2026-23-2-82-90
Abstract
The objective was to elucidate the modern concept of protective lung ventilation, particularly during laparoscopic operations involving carbondioxide pneumoperitoneum and Trendelenburg position based on the literature analysis.
Results. We indicate that protective mechanical lung ventilation is a critically important component of anesthetic management for laparoscopic robot-assisted operations in gynecology. Targeted use of low tidal volumes, optimal positive end-expiratory pressure, recruitment maneuvers, and PaCO₂ control contributes to preserving lung function, adequate oxygenation, and stabilization of cerebral blood flow.
Conclusion. The use of protective artificial ventilation reduces the severity of lung damage, reduces the risk of postoperative cognitive impairment, and improves clinical outcomes.
About the Authors
A. S. Kostenko
Botkin Moscow Multidisciplinary Scientific and Clinical Center
Russian Federation
Russian Federation
Kostenko Anastasia S., Head of the Anesthesiology and Intensive Care Department,
Moscow
Yu. V. Marchenkov
Botkin Moscow Multidisciplinary Scientific and Clinical Center
Russian Federation
Russian Federation
Marchenkov Yuri V., Dr. of Sci. (Med.), Associate Professor, Head of the Anesthesiology and Intensive Care Department
Moscow
E. P. Rodionov
Botkin Moscow Multidisciplinary Scientific and Clinical Center
Russian Federation
Russian Federation
Rodionov Evgeniy P., Cand. of Sci. (Med.), Associate Professor, Deputy Chief Physician for Anesthesiology and Intensive Care
Moscow
A. V. Pyregov
Academician V. I. Krasnopolsky Moscow Regional Research Institute of Obstetrics and Gynecology
Russian Federation
Russian Federation
Pyregov Alexey V., Dr. of Sci. (Med.), Professor, Deputy Director for Anesthesiology and Intensive Care, Academician V. I. Krasnopolsky Moscow Regional Research Institute of Obstetrics and Gynecology; Head of the Department of Anesthesiology, Resuscitation, and Intensive Care, Research Clinical Institute of Childhood of the Moscow Region Health Ministry
Moscow
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Review
For citations:
Kostenko A.S., Marchenkov Yu.V., Rodionov E.P., Pyregov A.V. Protective mechanical ventilation in the anesthetic management of gynecological robot-assisted operations (literature review). Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2026;23(2):82-90. (In Russ.) https://doi.org/10.24884/2078-5658-2026-23-2-82-90
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