Preparation phase
- Secure venous cannulas, tubes and patient monitoring equipment before docking
- Perform positioning check before docking of robot
Surgical and medical emergencies
- Emergency protocols and sustained training of personnel
Recommended procedure-specific anesthetic treatment
- Preoperative dexamethasone
- Induction: propofol + remifentanil or fentanyl
- Maintenance: propofol + remifentanil (fentanyl loading before emergence)
- Neuromuscular block: rocuronium (as infusion)
Recommended procedure-specific postoperative analgesic treatment
- Acetaminophen, fixed intervals
- COX-1 selective NSAIDs, fixed intervals
- Oral opioids, as needed
- Local anesthetics (as infiltration or TAP) can be used
Table 1: Recommendations for a standard care program in robotic colorectal surgery, NSAIDs: non-steroidal anti-inflammatory drugs; TAP, transversus abdominis plane block.