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Anaesthesia for thoracic surgery 

Anaesthesia for thoracic surgery
Chapter:
Anaesthesia for thoracic surgery
Author(s):

Jean S. Bussières

and Annie Rousseau

DOI:
10.1093/med/9780199653478.003.0033
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date: 21 October 2019

This chapter reviews the evolution of thoracic surgery, from open thoracotomy to video-assisted thoracoscopy (VATS). The general principles of anaesthesia for mediastinoscopy and pulmonary resection are outlined, including lung isolation using double lumen tubes or bronchial blockers.The physiological considerations and airway management techniques for a patient presenting with a mediastinal mass, during major airway resection, or a sleeve resection are described, including intermittent ventilation/apnoea periods, high-flow jet ventilation, and high-frequency jet ventilation. Finally, emergency surgery for blunt or penetrating thoracic trauma is discussed, as well as the conduct of anaesthesia when confronted with proximal or distal airway trauma.

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