Vol. 85 - No. 8 MINERVA ANESTESIOLOGICA 871 REVIEW Joint consensus on anesthesia in urologic and gynecologic robotic surgery: specific issues in management from a task force of the SIAARTI, SIGO, and SIU Paola ACETO 1, 2 , Luigi BERETTA 3 , Claudia CARIELLO 4 , Claudia CLARONI 5 , Clelia ESPOSITO 6 , Ester M. FORASTIERE 5 , Fabio GUARRACINO 4 , Raffaella PERUCCA 7 , Stefano ROMAGNOLI 8, 9 , Liliana SOLLAZZI 1, 2 , Vito CELA 10 , Alfredo ERCOLI 11 , Giovanni SCAMBIA 1, 2 , Enrico VIZZA 12 , Giuseppe M. LUDOVICO 13 , Emilio SACCO 14 , Giuseppe VESPASIANI 15 , Luigia SCUDELLER 16 *, Antonio CORCIONE 6 on behalf of Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI), Società Italiana di Ginecologia e Ostetricia (SIGO), and Società Italiana di Urologia (SIU) 1 A. Gemelli University Polyclinic, IRCSS Foundation, Rome, Italy; 2 Sacred Heart Catholic University, Rome, Italy; 3 Unit of Anesthesiology and Intensive Care, IRCCS San Raffaele Hospital, Milan, Italy; 4 Department of Anesthesia and Critical Care Medicine, Cardiothoracic Anesthesia and Intensive Care, University Hospital of Pisa, Pisa, Italy; 5 Department of Anesthesiology, Regina Elena National Cancer Institute, Rome, Italy; 6 Department of Critical Care Area Monaldi Hospital, Ospedali dei Colli, Naples, Italy; 7 Department of Anesthesia and Intensive Care, Maggiore della Carità Hospital, Novara, Italy; 8 Health Science Department, Section of Anesthesia and Critical Care, University of Florence, Florence, Italy; 9 Department of Anesthesia and Critical Care, Careggi Hospital, Florence, Italy; 10 Department of Clinical and Experimental Medicine, Obstetrics and Gynecology, Pisa University Hospital, Pisa, Italy; 11 Department of Obstetrics and Gynecology, Amedeo Avogadro University Of Eastern Piedmont, Maggiore Hospital, Novara, Italy; 12 Unit of Gynecologic Oncology, Department of Experimental Clinical Oncology, IRCCS - Regina Elena National Cancer Institute, Rome, Italy; 13 Department of Urology, F. Miulli Regional Hospital, Acquavivadelle Fonti, Bari, Italy; 14 Department of Urology, Sacred Heart Catholic University, A. Gemelli University Polyclinic, IRCSS Foundation, Rome, Italy; 15 Department of Experimental Medicine and Surgery, University Hospital of Tor Vergata, Rome, Italy; 16 Unit of Clinical Epidemiology, San Matteo IRCSS Foundation, Pavia, Italy *Corresponding author: Luigia Scudeller, Unit of Clinical Epidemiology, Scientific Direction, IRCCS Policlinic San Matteo Founda- tion, P.le Golgi 2, 27100 Pavia, Italy. E-mail: l.scudeller@smatteo.pv.it ABSTRACT INTRODUCTION: Proper management of patients undergoing robotic-assisted urologic and gynecologic surgery must consider a series of peculiarities in the procedures for anesthesiology, critical care medicine, respiratory care, and pain management. Although the indications for robotic-assisted urogynecologic surgeries have increased in recent years, spe- cific guidance documents are still lacking. EVIDENCE ACQUISITION: A multidisciplinary group including anesthesiologists, gynecologists, urologists, and a clinical epidemiologist systematically reviewed the relevant literature and provided a set of recommendations and unmet needs on peculiar aspects of anesthesia in this field. EVIDENCE SYNTHESIS: Nine core contents were identified, according to their requirements in urogynecologic ro- botic-assisted surgery: patient position, pneumoperitoneum and ventilation strategies, hemodynamic variations and fluid therapy, neuromuscular block, renal surgery and prevention of acute kidney injury, monitoring the Department of an- esthesia, postoperative delirium and cognitive dysfunction, prevention of postoperative nausea and vomiting, and pain management in endometriosis. Minerva Anestesiologica 2019 August;85(8):871-85 DOI: 10.23736/S0375-9393.19.13360-3 © 2019 EDIZIONI MINERVA MEDICA Online version at http://www.minervamedica.it This document is protected by international copyright laws. 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