Anaesthesia for thoracoscopic surgery

Current Opinion in Anaesthesiology

Volumn 10, Issue 1, 1997, Pages 44-47

  Larbuisson, Robert ^a   Lamy, Maurice ^a  

^a UNIVERSITY OF LIÈGE   (Belgium)

Author keywords

[No Author keywords available]

Indexed keywords

ARTERIAL OXYGEN SATURATION; ENDOSCOPIC SURGERY; GENERAL ANESTHESIA; HYPOXEMIA; LUNG VENTILATION; PRIORITY JOURNAL; SHORT SURVEY; THORACOSCOPY;

EID: 0030907248     PISSN: 09527907     EISSN: None     Source Type: Journal    
DOI: 10.1097/00001503-199702000-00012     Document Type: Short Survey

References (13)

1. Hedenstierna G, Reber A: Manipulating pulmonary blood flow during one-lung anaesthesia [Editorial]. Acta Anaesthesiol Scand 1996, 40:2-4.
2. 2α improves oxygen tension and reduces venous admixture during one-lung ventilation in anesthetized paralyzed dogs. Anesthesiology 1985, 62:23-38.
3. 1 to the ventilated lung, within the dose range of 0.04-0.4 μg/kg/min, is a practical and effective method to improve arterial oxygenation and reduce venous admixture during OLV.
4. 2 whereas right-lung ventilation and left-chest surgery does not cause hypoxaemia.
5. Rozenberg B, Katz Y, Isserles SA, Baitman B: Near-sitting position and two-lung ventilation for endoscopic transthoracic sympathectomy. J Cardiothorac Vasc Anesth 1996, 10:210-212. The authors conclude that the near-sitting position, a single-lumen tube, and continuous two-lung ventilation may prevent hypoxaemia.
6. Brodsky JB, Macario A, Cannon WB, Mark JBD: 'Blind' placement of plastic left double-lumen tubes. Anaesth Intensive Care 1995, 23:583-586. A prospective analysis of placement of plastic left-sided DLTs in 100 patients is presented. Intubation of the left bronchus was successfully accomplished using only auscultation and clinical signs ('blind' placement) in 91 patients. In seven patients, bronchoscopic assistance was required to guide the tube into the left bronchus.
7. Lieberman D, Littleford J, Horan T, Unruh H: Placement of left double-lumen endobronchial tubes with or without a stylet. Can J Anaesth 1996, 43:238-242. Retaining the stylet for the entire intubation procedure allows a more rapid, accurate placement of the DLT without increasing the incidence of tracheobronchial mucosal injury.
8. Green DT, Hughes NJ, Browne G: Anaesthesia for a patient undergoing thoracoscopic assisted trans-hiatal oesophagectomy. Eur J Anaesthesiol 1995, 12:483-486.
9. Hill RC, Jones DR, Vance RA, Kalantarian B: Selective lung ventilation during thoracoscopy: effects of insufflation on hemodynamics. Ann Thorac Surg 1996, 61:945-948. The authors have shown that, in swine, positive-pressure insufflation during thracoscopy resulted in significant haemodynamic compromise despite the use of selective lung ventilation: cardiac index, mean arterial pressure, and left ventricular stroke work index decreased, whereas pulmonary artery and central venous pressures increased at insufflation pressures of 5 mmHg and greater.
10. Alfery DD: Use of a left-sided double-lumen tube to occlude the right upper lobe orifice [Letter]. Anesthesiology 1995, 83:1131.
11. Morell R, Pricelipp RC, Foreman AS, Monaco TJ, Royster RL: Intentional occlusion of the right upper lobe bronchial orifice to tamponade life-threatening hemoptysis. Anesthesiology 1995, 82:1529-1531.
12. Parmar M, Sansome A: Propofol-induced bronchodilatation in status asthmaticus? Anaesthesia 1995, 50:1003-1004.
13. Goodman NW, Stratford N: Effect of iv lignocaine on the breathing of patients anaesthetized with propofol. Br J Anaesth 1995, 75:573-577. Lignocaine, in normal extradural doses, should not be a significant ventilatory depressant.