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General Aspects of Thoracic Anesthesia

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Thoracic Surgery

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Abstract

Thoracic anesthesia , a fascinating subspecialty, provides perioperative medicine for a spectrum of dynamically evolving surgical procedures ranging from classical thoracotomies to minimally invasive and ultra-minimally invasive video or robotically assisted procedures. Its core mission is to provide optimal surgical conditions by deflating the operative lung while providing adequate oxygenation and avoiding injury to the ventilated lung . Thoracic anesthesia also provides preoperative care to achieve best possible health status before surgery and improves postoperative recovery by providing means of pain therapy and enhanced recovery following some of the most painful procedures in patients who are at the highest risk for developing chronic pain . This chapter focuses on major current paradigms of general thoracic anesthesia representing the clinical views and preferences of a substantial core leadership of the EACTA thoracic subcommittee. As such, it is a uniquely European perspective not on the exact procedure specific details but, as the title demands, on the fundamentally basic principles of thoracic anesthesia . While covering the traditional topics of airway management , ventilation and acute pain in sufficient detail, it also expands into newer areas of interest as preoperative optimization through prehabilitation and introducing new methods to prevent chronic pain . While the discussed strategies currently represent our view as a group, we hope to formally test these concepts in the near future by subjecting these recommendations to a formal consensus statement (Thoracic Anaesthesia Consensus Agreement, TOSSCA) through a robust Delphi process involving the full membership of the EACTA Thoracic committee and the wider EACTA membership.

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Author information

Authors and Affiliations

  1. Section of Anaesthesia, Pain Medicine and Intensive Care, Imperial College London, London, UK

    Nandor Marczin

  2. Department of Anaesthetics, The Royal Brompton and Harefield NHS Foundation Trust, Harefield Hospital, Harefield, UK

    Nandor Marczin

  3. Department of Anaesthesia and Intensive Care, Semmelweis University, Budapest, Hungary

    Nandor Marczin

  4. University Hospital of Geneva, Geneva, Switzerland

    Marc Licker

  5. Department of Anesthesiology, Centre Hospitalier Universitaire de Charleroi, Charleroi, Belgium

    Laszlo L. Szegedi

  6. Department of Critical Care Medicine and Support Therapy, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy

    Federico Piccioni

  7. Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Consorcio Hospital General Universitario de Valencia, Valencia, Spain

    Manuell Granell

  8. Department of Anesthesiology and Intensive Care, University of Debrecen, Debrecen, Hungary

    Tamas Vegh

  9. Zentralklinik Bad Berka GmbH, Bad Berka, Germany

    Waheed Karzai

  10. Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain

    Carmen Unzueta

  11. Department of Anesthesia, Istanbul University, Istanbul, Turkey

    Mert Senturk

  12. Department of Anaesthesia and Intensive Care, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK

    Johan D. Bence

  13. Academic Unit of Anaesthesia, Pain, and Critical Care, Department of Anaesthesia, University of Glasgow, Golden Jubilee National Hospital, Clydebank, UK

    Benjmin G. Shelley

  14. Anesthesiology Department, King Fahd Hospital of the Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

    Mohamed El Tahan

  15. Department of Anaesthesia and Surgical Intensive Care, Mansoura University, Mansoura, Egypt

    Mohamed El Tahan

Authors
  1. Nandor Marczin
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  2. Marc Licker
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  3. Laszlo L. Szegedi
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  4. Federico Piccioni
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  5. Manuell Granell
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  6. Tamas Vegh
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  7. Waheed Karzai
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  8. Carmen Unzueta
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  9. Mert Senturk
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  10. Johan D. Bence
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  11. Benjmin G. Shelley
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  12. Mohamed El Tahan
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Corresponding author

Correspondence to Nandor Marczin .

Editor information

Editors and Affiliations

  1. “Dr. Carol Davila” Central Military Emergency University Hospital, Bucharest, Romania

    Claudiu E. Nistor

  2. Royal Papworth Hospital, Cambridge, UK

    Steven Tsui

  3. Koşuyolu Heart and Research Hospital, Istanbul, Turkey

    Kaan Kırali

  4. “Dr. Carol Davila” Central Military Emergency University Hospital, Bucharest, Romania

    Adrian Ciuche

  5. Royal Papworth Hospital, Cambridge, UK

    Giuseppe Aresu

  6. The University Hospital of Bern, Bern, Switzerland

    Gregor J. Kocher

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Marczin, N. et al. (2020). General Aspects of Thoracic Anesthesia. In: Nistor, C.E., Tsui, S., Kırali, K., Ciuche, A., Aresu, G., Kocher, G.J. (eds) Thoracic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-40679-0_2

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