Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2007 Oct;3(4):127-31.
doi: 10.4103/0972-9941.38906.

Anesthesia for thoracoscopic surgery

I D Conacher  1
Affiliations

Anesthesia for thoracoscopic surgery

I D Conacher. J Minim Access Surg. 2007 Oct.

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.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Lung separators. (from L to R) Double lumen tube (right sided - note slot for upper lobe bronchus): Endobronchial tube (Macintosh Leatherdale - left sided): Bronchus blocker (Cohen/Cook model) and ancillary
See this image and copyright information in PMC

References

    1. Manlulu A, Lee TW, Wan I, Law CY, Chang C, Garzon JC, et al. Video-assisted thoracic surgery thymectomy for non-thymomatous myasthenia gravis. Chest. 2005;128:3454–60. - PubMed
    1. Della Rocca G, Coccia C, Diana L, Pompei L, Costa MG, Tomaselli E, et al. Propofol or sevoflurane anesthesia without muscle relaxants allow the early extubation of myasthenic patients. Can J Anesth. 2003;50:547–52. - PubMed
    1. Horswell JL. Anesthetic techniques for thoracoscopy. Ann Thorac Surg. 1993;56:624–9. - PubMed
    1. Rozenberg B, Katz Y, Isserles SA, Baitman B. Near sitting position and two lung ventilation for endoscopic transthoracic sympathectomy. J Cardiothorac Vasc Anesth. 1996;10:210–2. - PubMed
    1. Olsfanger D, Jedeikin R, Fredman B, Shachor D. Tracheal anaesthesia for transthoracic sympathectomy: An alternative to endobronchial anaesthesia. Br J Anaesth. 1995;74:141–4. - PubMed

LinkOut - more resources