Intravenous anesthesia for thoracic procedures

Current Opinion in Anaesthesiology
Ron V Purugganan

Abstract

The article reviews the rationale for using intravenous anesthesia for thoracic operations, the drugs and equipment required, and the methodology involved. Recent studies examining whether total intravenous anesthesia offers a physiological advantage over inhalational anesthesia for thoracic surgery remain inconclusive. Nevertheless, total intravenous anesthesia is preferable for certain thoracic procedures incompatible with effective delivery of inhalational anesthetics. Additionally, total intravenous anesthesia offers advantages in procedures conducted in nonideal environments, such as offsite or austere scenarios. Total intravenous anesthesia is indicated for procedures in which inhalational anesthetics may not be safely or effectively delivered, including endobronchial procedures using flexible or rigid bronchoscopy and proximal airway-disrupting surgeries. Total intravenous anesthesia may be beneficial in lung volume reduction surgery, lung transplantation and thymectomy. Total intravenous anesthesia is safer and more practical for thoracic procedures performed outside of the operating room, such as offsite locations, military field or impoverished areas of the world. Propofol, dexmedetomidine, ketamine and remifentanil m...Continue Reading

References

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Citations

Oct 12, 2012·Intensive Care Medicine·Ludivine Chalumeau-LemoineFrançois Blot
Dec 4, 2013·Thoracic Surgery Clinics·Klaus Wiedemann, Clemens Männle
May 19, 2009·Emergency Medicine Clinics of North America·Pierre R Theodore
Apr 7, 2018·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Andres de LimaJohn Pawlowski
Jan 18, 2018·Der Anaesthesist·D BolkeniusE Halbeck
Sep 23, 2009·Current Opinion in Anaesthesiology·Thomas Edrich, Nicholas Sadovnikoff
Nov 11, 2009·Current Opinion in Anaesthesiology·James H Abernathy, Scott T Reeves
Sep 29, 2017·Journal of Bronchology & Interventional Pulmonology·Oren FruchterMordechai R Kramer
Dec 26, 2009·Current Opinion in Anaesthesiology
Nov 6, 2010·Current Opinion in Anaesthesiology
Feb 16, 2011·Current Opinion in Anaesthesiology

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