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Chapter: Clinical Cases in Anesthesia : One-Lung Anesthesia

One-Lung Anesthesia

A 70-year-old man with a long history of cigarette smoking presents for resection of a left upper lobe tumor.

ONE-LUNG ANESTHESIA

A 70-year-old man with a long history of cigarette smoking presents for resection of a left upper lobe tumor.

 

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Clinical Cases in Anesthesia : One-Lung Anesthesia : One-Lung Anesthesia |

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Clinical Cases in Anesthesia : One-Lung Anesthesia
One-Lung Anesthesia
Describe the anesthetic evaluation before lung resection
How are ventilation and oxygenation monitored noninvasively during surgery, and how do these monitors work?
What are the indications for one-lung ventilation?
Describe the use of single-lumen endotracheal tubes for one-lung ventilation
Which sided double-lumen endobronchial tube should be used for this patient?
Describe the proper technique for placing a double-lumen endobronchial tube
How is correct positioning of the double-lumen endobronchial tube assessed?
What clinical problems are associated with the place-ment and use of double-lumen endobronchial tubes?
What complications are related to placing the patient in the lateral decubitus position?
How are pulmonary perfusion and ventilation altered during one-lung ventilation?
What is the treatment for hypoxemia during one-lung anesthesia?
Describe the role of a thoracostomy tube following pulmonary resection, and describe the system used for pleural drainage
Describe a commonly used pleural drainage system
Discuss potential post-thoracotomy complications


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