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Anesthesia for Video-Assisted Thoracoscopic Surgery

  • Jared Roussel
  • Susan Smith
Chapter

Abstract

Video-assisted thoracoscopic surgery (VATS) procedures have shown a great deal of technological innovation that has dramatically changed thoracic surgery. VATs has shown to be less invasive painful and equally efficacious compared to traditional open surgery for specific diseases. The preoperative evaluation involves a comprehensive approach to address not only the underlying lung condition that warrants VATs but the patient’s other comorbid conditions. This chapter discusses the utility of pulmonary function test (PFTs) that may be needed to establish candidate suitability along with intraoperative positioning considerations. The methods for lung isolation will be discussed along with treatment strategies for problems encountered with one lung ventilation. A thorough consideration of multimodal perioperative pain control will help the anesthesia team to work towards best patient outcomes.

Keywords

Video assisted thoracoscopic surgery (VATS) Pulmonary function test Lung isolation techniques One lung ventilation physiology Multimodal pain control 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of AnesthesiologyOchsner Health SystemNew OrleansUSA

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