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Anesthesia for Lung Resection

  • Allison Bechtel
Chapter

Abstract

Anesthesia for lung resection surgery is challenging and requires knowledge of the patient’s pathology and anatomy as well as excellent communication with the surgical team. The most common indication for lung resection surgery is lung cancer which offers the chance for a cure in patients with non-small cell carcinoma without metastases. Anesthesiologists need to perform a careful preoperative evaluation given the frequent occurrence of significant co-morbidities in patients presenting to the operating room for lung resection. Intraoperatively, the anesthesiologist will be called upon to provide one-lung ventilation, hemodynamic support, appropriate volume management, and optimal pain control. The current review will discuss important components that need to be understood and applied to provide general anesthesia for patients undergoing lung resection. Specific areas of relevance for open thoracic surgery and lung resection will be discussed. Suggested techniques for patient management and a brief discussion of postoperative complications will be included as well.

Keywords

Preoperative evaluation prior to lung resection surgery Airway management for patients requiring one-lung ventilation Lung protective strategy during one-lung ventilation Hypoxemia on one-lung ventilation Intravascular volume assessment and treatment Enhanced recovery after lung resection surgery Postoperative atrial fibrillation following lung resection surgery 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Anesthesiology, University of VirginiaCharlottesvilleUSA

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