title: A survey on anesthesia for thoracoscopic sympathetic surgery in treatment of hyperhidrosis palmaris in Taiwan.
abstract: Thoracoscopic approach to sympathetic surgery has gained its popularity and emerged as the main stream in the treatment of hyperhidrosis palmaris in Taiwan. Different kinds of anesthesia have been practiced and reported in these surgeries. We made a survey of anesthetic methods in twelve medical centers and regional hospitals of the island. It was found out that the choice of the anesthesia was mainly dependent on the mutual trust and the full communication between the anesthesiologist and the surgeon, both based on their skills and the operative methods chosen by the surgeon. Single-lumen endotracheal tube with general inhalation anesthesia is practiced in most of the hospitals surveyed. Sevoflurane and desflurane are the choices of the inhalational anesthetic agents. In short, the anesthesiologists tend to practice the type of anesthesia that is simple but safe enough to secure the airway of the patient throughout the thoracoscopic sympathetic surgery.
authors.affiliation: Department of Anesthesia and Surgery, Tainan Municipal Hospital, Tainan City, Taiwan. sam10087@hotmail.com
authors.forename: L S
authors.initials: LS
authors.lastname: Lee
authors.forename: C C
authors.initials: CC
authors.lastname: Lin
authors.forename: H C
authors.initials: HC
authors.lastname: Chung
authors.forename: C F
authors.initials: CF
authors.lastname: Au
authors.forename: H T
authors.initials: HT
authors.lastname: Fang
mesh_terms: D000758:Anesthesia / Q000639:trends*; D000769:Anesthesia, Inhalation; D000077335:Desflurane; D006225:Hand / Q000294:innervation*; D006801:Humans; D006945:Hyperhidrosis / Q000601:surgery*; D007530:Isoflurane / Q000031:analogs & derivatives; D008738:Methyl Ethers; D000077149:Sevoflurane; D011795:Surveys and Questionnaires; D013562:Sympathectomy; D013624:Taiwan; D013906:Thoracoscopy
chemical_list: D008738:Methyl Ethers; D000077149:Sevoflurane; D000077335:Desflurane; D007530:Isoflurane