Anesthesia for major lung resection surgery
DOI:
https://doi.org/10.30445/rear.v17i3.1225Keywords:
Anesthesia, thoracic surgery, One-lung ventilation, lung isolation, Hypoxic pulmonary vasoconstriction, regional anesthesia, lung risk, Pulmonary postoperative complications, double lumen tubes, Lung protective ventilationAbstract
Open thoracic surgery is indicated to treat intrathoracic malignancies, diagnose suspicious masses or nodules, manage chest trauma, pulmonary infections, or bronchopleural fistulas. Includes segmentectomies, wedge resections, bullectomies, lobectomies, multiple lobar resections, pneumonectomies, or resection of mediastinal masses. Close communication between anesthesiologist and surgeon is essential during the preoperative evaluation, intraoperative anesthetic management, and postoperative analgesia. Most procedures require lung isolation or separation, intraoperative one-lung ventilation, and management of secondary hypoxic pulmonary vasoconstriction.
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