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Thoracic anatomy, physiology, and pathophysiology 

Thoracic anatomy, physiology, and pathophysiology
Chapter:
Thoracic anatomy, physiology, and pathophysiology
Author(s):

David J. R. Duthie

DOI:
10.1093/med/9780199653478.003.0004
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date: 15 October 2019

Patients for thoracic anaesthesia often look older than their years. Smoking-related co-morbidities and a burden of cancer are common. Intrathoracic surgery is a substantial surgical stress to any patient. The risk of severe haemorrhage is ever-present and pain from a thoracotomy wound is often severe. In addition, the shared airway during rigid bronchoscopy and the need for lung isolation and one lung anaesthesia make technical demands on the anaesthesiologist The lung has a limited response to insults, involving initial inflammation and oedema and subsequent fibrosis. A good understanding of the anatomy, physiology, and pathophysiology of the chest can provide a foundation for planning and dealing with eventualities during thoracic anaesthesia.

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