A variety of regional anesthetic techniques have been described for intraoperative anesthesia and postoperative analgesia including intercostal and paravertebral blocks intrapleural infusions and epidural anesthesia see chapters 41 42 and 43 ventilation and perfusion during thoracic surgery. The potential advantages offered by high frequency positive pressure ventilation during thoracic anesthesia are that lower v t and inspiratory pressures result in a quiet lung field for the surgeon with minimal movements of airway lung tissue and mediastinum. As thoracic surgery evolved anesthesia evolved in parallel allowing even the most compli cated surgical procedures to be performed relatively safely this co evolution mirrors the close association of the thoracic surgeon and anesthesiologist when caring for their patients this unique association is predicated on the nature of thoracic procedures where the surgeon and anesthesiologist . This book reviews and describes the best practices of anesthesia in thoracic surgery according to evidence based medicine it covers preoperative assessment applied pharmacology airway management and ventilation methods the analgesic methods in this surgical specialty are also discussed. Gical instruments into the thoracic cavity through access ports most commonly it is performed by a thoracic surgeon in the operating room under general anesthesia in more recent years surgical techniques instruments and video technology have improved to permit a wide variety of therapeutic procedures to be performed using vats
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