Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2742251 | Anaesthesia & Intensive Care Medicine | 2014 | 4 Pages |
Abstract
Thoracic anaesthesia is a large field. This review concentrates on anaesthesia for major thoracotomy and lung resection, which is most usually carried out for malignant disease. This is a relatively small patient population, but procedures carry significant mortality of up to 6% for pneumonectomy. Physiological changes that occur during anaesthesia and one lung ventilation (OLV) are discussed, and the optimal ventilatory management of these patients is covered. Postoperative management of analgesia and chest drains is also discussed, as is the pathophysiology of acute lung injury (ALI) which may occur after lobectomy or pneumonectomy. Aspects of video-assisted thoracoscopy (VATS) and lung volume reduction surgery (LVRS) are also mentioned.
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Authors
Katheryn J. Fogg,