Anesthesia for Thoracic Surgery - Pulmonary Resection

Anesthesia for Thoracic Surgery - Pulmonary Resection is a topic covered in the Clinical Anesthesia Procedures.

To view the entire topic, please or purchase a subscription.

Anesthesia Central is an all-in-one web and mobile solution for treating patients before, during, and after surgery. This collection of drug, procedures and test information is derived from Davis’s Drug, MGH Clinical Anesthesia Procedures, Pocket Guide to Diagnostic Tests, and MEDLINE Journals. Explore these free sample topics:

Anesthesia Central

-- The first section of this topic is shown below --

Surgical Techniques

Surgical Techniques

  1. Lateral or posterolateral thoracotomy is an approach for the resection of large pulmonary neoplasms or abscesses. Thoracotomy is often preceded by staging procedures such as bronchoscopy, mediastinoscopy, or thoracoscopy. If the staging procedures are performed at the same sitting, the anesthetic should be planned to accommodate the possibility of a shortened procedure if metastatic disease is discovered.
  2. Video-assisted thoracoscopic surgery (VATS) is a common approach for wedge resection, segmentectomy, and lobectomy. Thoracoscopic surgery may result in less postoperative pain and a shorter recovery time. Lung isolation is required for adequate visualization of the surgical field.
  3. Robot-assisted thoracoscopic surgery is an emerging technique that is theoretically superior to VATS in that the accuracy of the robotic arm facilitates lymph node resection with the conservation of nerves and improved cure rates.
    1. Good pressure point padding must be ensured due to extremes of positioning with robotic surgery.
    2. When the robot is docked, the surgical bed must not be moved at all.
    3. As with VATS, complete collapse of the operative lung must be maintained.

-- To view the remaining sections of this topic, please or purchase a subscription --

Citation

* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Anesthesia for Thoracic Surgery - Pulmonary Resection ID - 728278 Y1 - 2019 PB - Clinical Anesthesia Procedures UR - https://anesth.unboundmedicine.com/anesthesia/view/ClinicalAnesthesiaProcedures/728278/all/Anesthesia_for_Thoracic_Surgery___Pulmonary_Resection ER -