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Journal of Minimal Access Surgery
Medknow Publications
ISSN: 0972-9941 EISSN: 0972-9941
Vol. 3, No. 4, 2007, pp. 127-131
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Bioline Code: ma07030
Full paper language: English
Document type: Special Article
Document available free of charge
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Journal of Minimal Access Surgery, Vol. 3, No. 4, 2007, pp. 127-131
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Anesthesia for thoracoscopic surgery
Conacher, I.D.
Abstract
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.
Keywords
Analgesia for thoracotomy, lung separators, one lung ventilation
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