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Anesthesia for Thoracic Surgery

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Pediatric Thoracic Surgery

Abstract

Thoracic surgery in the pediatric patient may be carried out for a wide variety of congenital, neoplastic, traumatic and infectious diseases. An optimal approach to the planning of anesthesia for thoracic surgery requires not only a good knowledge of the technical features and an understanding of the anesthetic physiological alterations associated with the and surgical procedure, but also of the patient’s underlying status. The approach needs to take into account the problems and risks related to airway management, potential preoperative respiratory compromise and respiratory consequences associated with a possible lung resection, as well as those connected with the changes due to the lateral decubitus position, the lung exclusion and, in thoracoscopy, CO2 insufflation in the pleural cavity. In addition, the magnitude of the physiological modifications associated with thoracic surgery is influenced by the anesthetic agents administered, the underlying myocardial and respiratory function, and the patient’s age (many critical diseases need quick surgical correction in the neonatal age group) [1].

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Authors and Affiliations

  1. Department of Pediatrics, Policlinico S. Orsola-Malpighi, Bologna, Italy

    Simonetta Baroncini

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  1. Giulia Bottazzi
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  2. Andrea Gentili
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  3. Maria Elena Latrofa
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  4. Simonetta Baroncini
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Correspondence to Simonetta Baroncini .

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Editors and Affiliations

  1. Pediatric Surgery, University of Bologna, Bologna, Italy

    Mario Lima

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Bottazzi, G., Gentili, A., Latrofa, M.E., Baroncini, S. (2013). Anesthesia for Thoracic Surgery. In: Lima, M. (eds) Pediatric Thoracic Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-5202-4_4

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  • DOI: https://doi.org/10.1007/978-88-470-5202-4_4

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5201-7

  • Online ISBN: 978-88-470-5202-4

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