Anesthetic management for bilateral volume reduction surgery.
Bilateral volume reduction surgery has been designed to reduce total thoracic volume and improve chest wall mechanics in patients with severe emphysema who, up to now, had very limited viable surgical options. This procedure has been performed in more than 120 such patients at our institution. We present the anesthetic considerations and our experience from their management.
Triantafillou
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Division of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, MO 63110, USA.
D000328:Adult; D000368:Aged; D015360:Analgesia, Epidural; D000768:Anesthesia, General; D005260:Female; D005541:Forced Expiratory Volume / Q000502:physiology; D006801:Humans; D008176:Lung Volume Measurements; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D010149:Postoperative Pain / Q000188:drug therapy; D011013:Pneumonectomy / Q000379:methods*; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D011656:Pulmonary Emphysema / Q000401:mortality / Q000601:surgery*; D015996:Survival Rate; D016896:Treatment Outcome; D014797:Vital Capacity / Q000502:physiology