Abstract
Pulmonary resection and pleural surgeries are the most common thoracic surgical procedures performed in any thoracic surgical unit. Lung resection procedures include wedge resection, segmentectomy, lobectomy, sleeve lobectomy, and pneumonectomy [1], whereas pleural surgeries encompass debridement, decortication, and pleurodesis [2]. Other miscellaneous thoracic surgical procedures include thoracic duct ligation and closure of bronchopleural fistula etc. These procedures can be performed either by open thoracotomy or video-assisted thoracoscopic surgery (VATS). Advancement in surgical techniques and instrumentation has led to increased interest in thoracoscopic especially VATS procedures. VATS was initially used only for minor procedures, but recently it has gained popularity in lung resection and pleural surgeries as well [3]. In fact they are considered to be of choice in most cases due to enhanced recovery, decreased length of stay, and sparing of mechanical chest wall function [4, 5].
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References
Rio JMD. Pulmonary resection – pneumonectomy, lobectomy and segmentectomy/standard and thoracoscopic. Available from https://www.clinicalpainadvisor.com/home/decision-support-in-medicine/anesthesiology. Accessed 29 June 2019.
Pawlowski J, Ott Q. Overview of anesthesia for patients with pleural disease. Available from https://www.uptodate.com/contents.Accessed on 29 June 2019.
Ochroch EA, Lambright E, Kertai M, et al. Anesthesia for open pulmonary resection: a systems approach. In: Slinger P, editor. Principles and practice of anesthesia for thoracic surgery. 1st ed. New York: Springer; 2011. p. 309–31.
Whitson BA, Groth SS, Duval SJ, et al. Surgery for early-stage non-small cell lung cancer: a systematic review of the video-assisted thoracoscopic surgery versus thoracotomy approaches to lobectomy. Ann Thorac Surg. 2008;86:2008–18.
Mahtabifard A, DeArmond DT, Fuller CB, et al. Video-assisted thoracoscopic surgery lobectomy for stage I lung cancer. Thorac Surg Clin. 2007;17:223–31.
Weigel WA, Hoaglan CD. The practical management of one lung ventilation. Adv Anesth. 2013;31:61–85.
Hoffman H. Bronchial sleeve resection. In: Dienemann HC, Hoffmann H, Detterbeck FC, editors. Chest surgery. 1st ed. Springer: Berlin; 2015. p. 185–209.
Demmy TL, Dexter EU. Thoracotomy pneumonectomy. In: Dienemann HC, Hoffmann H, Detterbeck FC, editors. Chest surgery. 1st ed. Springer: Berlin; 2015. p. 137–47.
Allen MS, Darling GE, Pechet TT, et al. Morbidity and mortality of major pulmonary resections in patients with early stage lung cancer: initial results of the randomized, prospective ACOSOG Z0030 trial. Ann Thorac Surg. 2006;81:1013–20.
Zeldin RA, Normandin D, Landtwing D, et al. Postpneumonectomy pulmonary edema. J Thorac Cardiovasc Surg. 1984;87:359–65.
Licker M, de Perrot M, Spiliopoulos A, et al. Risk factors for acute lung injury after thoracic surgery for lung cancer. Anesth Analg. 2003;97:1558–65.
Foroulis CN, Kotoulas CS, Kakouros S, et al. Study on the late effect of pneumonectomy on right heart pressures using Doppler echocardiography. Eur J Cardiothorac Surg. 2004;26:508–14.
Oizumi H, Kato H, Endoh M, et al. Techniques to define segmental anatomy during segmentectomy. Ann Cardiothorac Surg. 2014;3(2):170–5.
Fleisher LA, Beckman JA, Brown KA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery. J Am Coll Cardiol. 2007;50:1707–32.
British Thoracic Society; Society of Cardiothoracic Surgeons of Great Britain and Ireland Working Party. BTS guidelines: guidelines on the selection of patients with lung cancer for surgery. Thorax. 2001;56: 89–108.
von Knorring J, Lepäntalo M, Lindgren L, et al. Cardiac arrhythmias and myocardial ischemia after thoracotomy for lung cancer. Ann Thorac Surg. 1992;53:642–7.
Garcia S, Moritz TE, Ward HB, et al. Usefulness of revascularization of patients with multi-vessel coronary artery disease before elective vascular surgery for abdominal aortic and peripheral occlusive disease. Am J Cardiol. 2008;102:809–13.
Garcia S, McFalls EO. CON: preoperative coronary revascularization in high-risk patients undergoing vascular surgery. Anesth Analg. 2008;106:764–6.
McFalls EO, Ward HB, Moritz TE, et al. Predictors and outcomes of a perioperative myocardial infarction following elective vascular surgery in patients with documented coronary artery disease: results of the CARP trial. Eur Heart J. 2008;29:394–401.
McFalls EO, Ward HB, Moritz TE, et al. Clinical factors associated with long-term mortality following vascular surgery: outcomes from the Coronary Artery Revascularization Prophylaxis (CARP) trial. J Vasc Surg. 2007;46:694–700.
McFalls EO, Ward HB, Moritz TE, et al. Coronary-artery revascularization before elective major vascular surgery. N Engl J Med. 2004;351:2795–804.
ASA Committee on Standards and Practice Parameters. Practice alert for the perioperative management of patients with coronary artery stents. Anesthesiology. 2009;110:22–3.
Devereaux PJ, Yang H, Yusuf S, et al. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial. Lancet. 2008;371:1839–47.
Pedoto A, Amar D. Right heart function in thoracic surgery: role of echocardiography. Curr Opin Anaesthesiol. 2009;22:44–9.
Vaporciyan AA, Merriman KW, Ece F, et al. Incidence of major pulmonary complications after pneumonectomy; association with timing of smoking cessation. Ann Thorac Surg. 2002;73:420–5.
Akrawi W, Benumof JL. A pathophysiological basis for informed preoperative smoking cessation counseling. J Cardiothorac Vasc Anesth. 1997;11:629–40.
Slinger PD. Postpneumonectony pulmonary edema: good news, bad news. Anesthesiology. 2006;105:2–5.
Fernandez-Perez ER, Keegan MT, Brown DR, et al. Intraoperative tidal volume as a risk factor for respiratory failure after pneumonectomy. Anesthesiology. 2006;105:14–8.
Grichnik KP, D’Amico TA. Acute lung injury and acute respiratory distress syndrome after pulmonary resection. Semin Cardiothorac Vasc Anesth. 2004;8:317–34.
Malhotra A. Low-tidal-volume ventilation in the acute respiratory distress syndrome. N Engl J Med. 2007;357:1113–20.
Petrucci N, Iacovelli W. Lung protective ventilation strategy for the acute respiratory distress syndrome. Cochrane Database Syst Rev. 2007;28:CD003844.
The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000;342:1301–8.
Slinger P. Update on anesthetic management for pneumonectomy. Curr Opin Anaesthesiol. 2009;22:31–7.
Jackson TA, Mehran RJ, Thakar D, et al. Case 5–2007 postoperative complications after pneumonectomy: clinical conference. J Cardiothorac Vasc Anesth. 2007;21:743–51.
Yeager MP, Glass DD, Neff RK, et al. Epidural anesthesia and analgesia in high-risk surgical patients. Anesthesiology. 1987;66:729–36.
Clemente A, Carli F. The physiological effects of thoracic epidural anesthesia and analgesia on the cardiovascular, respiratory and gastrointestinal systems. Minerva Anestesiol. 2008;74:549–63.
Spray SB, Zuidema GD, Cameron JL. Aspiration pneumonia; incidence of aspiration with endotracheal tubes. Am J Surg. 1976;131:701–3.
Sackner MA, Hirsch J, Epstein S. Effect of cuffed endotracheal tubes on tracheal mucous velocity. Chest. 1975;68:774–7.
Tsai FC, Liu CWY, Shitalkumar S. Extrapleural pneumonectomy perioperative anaesthetic conduct. Sri Lankan J Anaesthesiol. 2018;26:156–8.
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Chabra, H., Sharma, S. (2020). Anesthesia for Lung Resection and Pleural Surgery. In: Sood, J., Sharma, S. (eds) Clinical Thoracic Anesthesia. Springer, Singapore. https://doi.org/10.1007/978-981-15-0746-5_12
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DOI: https://doi.org/10.1007/978-981-15-0746-5_12
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