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Transorale roboterassistierte Operationen stellen jedoch auch neue an\u00e4sthesiologische Herausforderungen, insbesondere hinsichtlich der Atemwegssicherung, Narkosef\u00fchrung und des perioperativen Managements. Diese Aspekte bilden den Fokus dieser \u00dcbersichtsarbeit. Ein wichtiger Punkt bei TORS ist die Atemwegssicherung, da einerseits viele Patienten Risikofaktoren f\u00fcr einen schwierigen Atemweg aufweisen und andererseits das Ziel besteht, den chirurgischen Zugang sowie die \u00dcbersicht im Operationsfeld so wenig wie m\u00f6glich einzuschr\u00e4nken. F\u00fcr die Atemwegssicherung bei TORS stehen mehrere M\u00f6glichkeiten zur Verf\u00fcgung. In diesem Artikel werden die Vor- und Nachteile der verschiedenen Verfahren aufgezeigt und besprochen. Dabei gilt ein besonderes Augenmerk einem neuartigen sehr d\u00fcnnen Endotrachealtubus namens Tritube\u00a9 (Ventinova, Eindhoven, Niederlande), welcher dank seiner schlanken Form neue chirurgische und an\u00e4sthesiologische M\u00f6glichkeiten er\u00f6ffnet. Die damit verbundene flusskontrollierte Beatmung (FCV) wird diskutiert und mit etablierteren Beatmungsformen wie der volumen- und druckkontrollierten Beatmung (VCV\/PCV) verglichen. Der vorliegende Artikel soll einen \u00dcberblick zur an\u00e4sthesiologischen Betreuung bei TORS bieten, auf Gefahren aufmerksam machen und Strategien erl\u00e4utert, um diese zu verringern.<\/jats:p>","DOI":"10.1007\/s00101-025-01566-x","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T12:23:58Z","timestamp":1753100638000},"page":"573-580","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["An\u00e4sthesie bei transoraler roboterassistierter Chirurgie","Anesthesia in transoral robot-assisted surgery"],"prefix":"10.1007","volume":"74","author":[{"given":"Marlon","family":"Jolissaint","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Marggraf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dovile","family":"Diktanaite","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,21]]},"reference":[{"key":"1566_CR1","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1186\/s13027-020-00306-7","volume":"15","author":"F Ionna","year":"2020","unstructured":"Ionna\u00a0F, Guida\u00a0A, Califano\u00a0L, Motta\u00a0G, Salzano\u00a0G, Pavone\u00a0E, Aversa\u00a0C, Longo\u00a0F, Villano\u00a0S, Ponzo\u00a0LM, Franco\u00a0P, Losito\u00a0S, Buonaguro\u00a0FM, Tornesello\u00a0ML, Maglione\u00a0MG (2020) Transoral robotic surgery in head and neck district: a\u00a0retrospective study on 67\u00a0patients treated in a\u00a0single center. 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