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Thoracic anaesthesia 

Thoracic anaesthesia
Chapter:
Thoracic anaesthesia
Author(s):

Jeremy Prout

, Tanya Jones

, and Daniel Martin

DOI:
10.1093/med/9780199609956.003.0015
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date: 20 April 2021

Pre-assessment of patients for thoracic surgery with prediction of postoperative dyspnoea is important and may determine ‘operability’ of malignancy. Anaesthetic conduct for common thoracic surgical procedures such as thoracotomy, video-assisted thorascopic surgery, mediastinal surgery, and bronchoscopic techniques are described. Techniques for providing one-lung ventilation using double-lumen tubes or endobronchial blockers are discussed along with the physiology of one-lung ventilation, hypoxic vasoconstriction, and techniques to improve oxygenation. Thoracic postoperative care such as pain and chest drain management is included

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