Thoracics

2009 ◽  
pp. 209-234

Intrathoracic tracheal/bronchial obstruction 210 Inhaled foreign body 212 Tracheal injury or laceration 214 Bronchopleural fistula (BPF) 216 Hypoxia during one-lung ventilation (OLV) 218 Sudden high airway pressure during one-lung ventilation 220 Pneumothorax of dependent lung during one-lung ventilation 222 Dynamic hyperinflation (DHI) 224 Cardiac herniation postpneumonectomy ...

2020 ◽  
pp. 215-246
Author(s):  
James Bennett ◽  
Gerard Gould

In this chapter on life-threatening thoracic problems in anaesthesia, the authors offer their guidance and expertise on the best-practice methods of dealing with each of these. These problems include tracheal/bronchial obstruction, inhaled foreign body, tracheal injury or laceration, bronchopleural fistula, hypoxia/pneumothorax/high airway pressure during one-lung ventilation, dynamic hyperinflation, cardiac herniation postpneumonectomy, major airway bleeding, and bleeding during mediastinoscopy. In addition, the definitions, presentation, management strategies, investigations, risk factors, exclusions and causes, and any special considerations for each potential thoracically related situation are given and elaborated upon. Lists of up-to-date online resources and further reading are also provided here, offering invaluable know-how to encourage the reader to broaden their knowledge.


Author(s):  
Claire Todd ◽  
Bruce McCormick

This chapter discusses the anaesthetic management of thoracic surgery. It begins with general principles of thoracic surgery, including isolation of the lungs, one-lung ventilation, and providing analgesia for thoracic surgery. Surgical procedures covered include rigid bronchoscopy and bronchial stent insertion, mediastinoscopy, wedge resection, lobectomy, pneumonectomy, thoracoscopy and video-assisted thoracoscopic surgery, drainage of empyema and decortications, lung volume reduction surgery and bullectomy, repair of bronchopleural fistula, pleurectomy and pleurodesis, oesophagectomy, and surgical management of chest injuries.


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