Prise en charge périopératoire d'une pneumonectomie

Pneumonectomy is associated with a high incidence of postoperative complication and a high mortality rate. Preoperative assessment is based on the evaluation of residual respiratory function and comorbidities. Peroperatively, on has highlighted the need of ventilation with low tidal volumes and of limitation of the amount of fluids infused. Postoperative rehabilitation is based on rapid extubation, effective analgesia by thoracic epidural or paravertebral block, active physiotherapy, early deambulation and oral feeding