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 CME ARTICLE
Year : 2007  |  Volume : 3  |  Issue : 4  |  Page : 127-131

Anesthesia for thoracoscopic surgery


Department of Thoracic Anesthesia, Freeman Hospital, Newcastle Upon Tyne Nhs Hospital Trust, Freeman Road, Newcastle Upon Tyne, NE7 7DN, England, United Kingdom

Correspondence Address:
I D Conacher
Consultant Anaesthetist: Freeman Hospital, Newcastle upon Tyne, NE7 7DN. England
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.38906

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Anesthesia for thoracoscopy is based on one lung ventilation. Lung separators in the airway are essential tools. An anatomical shunt as a result of the continued perfusion of a non-ventilated lung is the principal intraoperative concern. The combination of equipment, technique and process increase risks of hypoxia and dynamic hyperinflation, in turn, potential factors in the development of an unusual form of pulmonary edema. Analgesia management is modelled on that shown effective and therapeutic for thoracotomy. Perioperative management needs to reflect the concern for these complex, and complicating, processes to the morbidity of thoracoscopic surgery.






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© 2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04