Intraoperative Anesthetic Management of the Thoracic Patient

Thorac Surg Clin. 2020 Aug;30(3):279-291. doi: 10.1016/j.thorsurg.2020.04.011. Epub 2020 Apr 28.

Abstract

The intraoperative anesthetic management for thoracic surgery can impact a patient's postoperative course, especially in patients with significant lung disease. One-lung ventilation poses an inherent risk to patients, including hypoxemia, acute lung injury, and right ventricular dysfunction. Patient-specific ventilator management strategies during one-lung ventilation can reduce postoperative morbidity.

Keywords: Bronchial blocker; Double-lumen endobronchial tube; Hypoxemia and one-lung ventilation; Hypoxic pulmonary vasoconstriction; One-lung ventilation complications.

Publication types

  • Review

MeSH terms

  • Acute Lung Injury / etiology
  • Anesthesia / methods*
  • Fluid Therapy
  • Humans
  • Hypoxia / etiology
  • One-Lung Ventilation / adverse effects
  • One-Lung Ventilation / instrumentation
  • One-Lung Ventilation / methods*
  • Pain Management
  • Postoperative Complications / prevention & control
  • Thoracic Surgical Procedures* / adverse effects