Anaesthesia for lung volume reduction surgery
| Autor: | J. Hillier, C. Gillbe |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Respiratory disease respiratory system Chest wall mechanics Lung volume reduction surgery medicine.disease Surgery Diaphragm (structural system) Anesthesiology and Pain Medicine medicine.anatomical_structure Cardiothoracic surgery Ventricle Anesthesia medicine Lung volumes business Reduction (orthopedic surgery) |
| Zdroj: | Anaesthesia. 58:1210-1219 |
| ISSN: | 0003-2409 |
| DOI: | 10.1046/j.1365-2044.2003.03344.x |
| Popis: | Lung volume reduction surgery is a surgical treatment for severe emphysema that is increasing in popularity. The aim is to reverse the hyperexpansion of the lungs that leads to expiratory airflow limitation, compromises the diaphragm and chest wall mechanics, and tamponades the right ventricle. Optimal patient selection has not yet been established, but it has become clear that those patients with the most severe disease have an unacceptably high surgical mortality. The anaesthetic management of patients undergoing lung volume reduction surgery requires a good understanding of both the pathophysiology of the disease and the surgical procedure. It is important for the anaesthetist and the surgeon to work closely, supported by a large multidisciplinary team. Excellent analgesia is essential to a successful outcome; whether this is best provided by thoracic epidural is as yet unclear. |
| Databáze: | OpenAIRE |
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