Anaesthesia for lung volume reduction surgery.
To date, only a few published studies have been concerned with the anaesthesiological aspects of lung volume reduction surgery. This review summarizes the different anaesthetic concepts and offers a general strategy to meet specific requirements. Limitation of peak inspiratory pressure, tolerance of hypercapnia and avoidance of hypoxia during one-lung ventilation, and the immediate postoperative tracheal extubation of these patients, are considered to be crucial. However, many aspects of the procedure and of anaesthesiological management remain to be elucidated.
Zollinger
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Department of Anaesthesiology, University Hospital, Zürich, Switzerland. andreas.zollinger@ifousz.zh
Pasch
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