Anaesthesia for a patient undergoing thoracoscopic assisted trans-hiatal oesophagectomy.
We describe the anaesthetic management of an elderly woman who underwent thoracoscopically assisted trans-hiatal oesophagectomy. One-lung ventilation with insufflation of carbon dioxide was necessary for adequate surgical access. Potential intra-operative problems included hypoxaemia during one-lung ventilation, mediastinal shift and inadvertent damage to mediastinal structures.
Department of Anaesthesia and Intensive Care, St. James' Hospital, Dublin, Ireland.
D T
DT
Green
N J
NJ
Hughes
G
G
Browne
D000368:Aged; D000369:Aged, 80 and over; D000758:Anesthesia; D001784:Blood Gas Analysis; D001794:Blood Pressure / Q000187:drug effects; D016629:Esophagectomy; D005260:Female; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D006985:Hyperventilation; D007431:Intraoperative Complications; D010101:Oxygen Consumption / Q000502:physiology; D011292:Premedication; D012121:Respiration, Artificial; D013906:Thoracoscopy