PMID: 8969389Dec 1, 1996Paper

Anesthetic management of patients undergoing unilateral video-assisted lung reduction for treatment of end-stage emphysema

Journal of Cardiothoracic and Vascular Anesthesia
P E KrucylakL J Baudendistel

Abstract

Nonanatomic resection of peripheral areas of lung is being performed via sternotomy for the treatment of end-stage emphysema. Recent technologic advances have allowed the resection of lung tissue using video-assisted thoracic surgery (VATS) techniques. The study was performed to document the physiologic changes that occur during unilateral VATS lung reduction in hopes of determining appropriate monitoring and intraoperative management strategies. Prospective trial of unilateral VATS lung reduction. Tertiary care university hospital. Twenty patients with end-stage emphysema. Participants underwent unilateral VATS lung reduction. Invasive hemodynamic monitoring was performed using radial and pulmonary artery catheters. Hemodynamic and respiratory gas exchange data were collected at four intraoperative points: (1) supine, two-lung ventilation; (2) lateral decubitus, two-lung ventilation; (3) lateral decubitus, one-lung ventilation, and (4) end of surgery, supine, two-lung ventilation. Data were compared with that collected at the first point. Patients tolerated lengthy surgical procedures and remained hemodynamically stable with no episodes of hypoxemia requiring treatment. Extubation was tolerated by 19 of 20 patients at the conc...Continue Reading

References

Apr 13, 1991·Lancet·A WakabayashiA F Wilson
Jan 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·J D CooperC L Roper
Jan 1, 1993·Anesthesiology·S J BarkerP Roessler

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Citations

Jun 27, 2003·Journal of Cardiothoracic and Vascular Anesthesia·Katherine P Grichnik, Steven E Hill
Jul 27, 2001·Acta Anaesthesiologica Scandinavica·J SticherG Hempelmann
Oct 4, 2006·Current Opinion in Anaesthesiology·J B Brodsky, E Cohen
Jan 16, 2008·Current Opinion in Anaesthesiology·Andrew Ian LevinAndre Coetzee
Sep 17, 2013·Journal of Surgical Oncology·Kamran Mohiuddin, Scott J Swanson
Jun 1, 1997·Clinics in Chest Medicine·C A Keller, K S Naunheim
Oct 3, 2006·Current Opinion in Anaesthesiology·A Zollinger, T Pasch

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