It is important in thoracic surgery to find a position upon the operating table which will combine good surgical access with the minimum interference with respiration. Present practice favours a postero-lateral approach for most thoracotomies, and for this the patient is placed with the gobod side of the chest under. The lateral position is maintained by a pad against the front of the chest and...

(Hi) These operations take quite a lot of time. Operations lasting for 4 hours are quite common. If a lung is kept collapsed for such a length of time it is rather difficult to expand it again after the operation, so at frequent intervals the anaesthetist inflates the lung for which positive pressure anaesthesia is necessary. Before the operation is decided upon we see that adequate haemoglobin...

Premedication must now be considered. It is desirable that the patient should be drowsy before the operation, but full basal narcosis is not always to be recommended, since it is important that the coughing reflex should have returned immediately after the operation, and, indeed, the patient should as a rule be able to cough voluntarily before leaving the table. If local analgesia only is conte...

OBJECTIVE Presentation of an experience in benchmarking in 13 university Spanish thoracic surgery services. METHODS The minimum basic data set (MBDS) for hospitalization, corresponding to 2007, including all registered hospital discharges, was used. The performance of the hospitals was compared using an external reference pattern (SN) and internal average (BMG). Cases were chosen in which a m...

Many infants require thoracic surgery to correct congenital anomalies. Older children require surgery to remove tumors and pulmonary abnormalities. This chapter provides information on the lesions for which surgery is required and on the anesthesia care required. It also provides information on pneumothorax and its treatment. The information contained in this chapter will help the anesthetist m...

PURPOSE To investigate if tests used in the preoperative period of upper abdominal or thoracic surgeries are able to differentiate the patients that presented cardiopulmonary postoperative complications. METHODS Seventy eight patients, 30 submitted to upper abdominal surgery and 48 to thoracic surgery were evaluated. Spirometry, respirometry, manovacuometry, six-minute walk test and stair-cli...

AMA Zeng L, He T, Hu J. Minimally invasive thoracic surgery: robot-assisted versus video-assisted thoracoscopic surgery. Videosurgery and Other Miniinvasive Techniques/Wideochirurgia i inne techniki małoinwazyjne. 2023. doi:10.5114/wiitm.2023.128714. APA Zeng, L., He, T., & Hu, (2023). https://doi.org/10.5114/wiitm.2023.128714 Chicago Liping, Tianyu Jian Hu. "Minimally surgery". Harvard MLA Lip...

Anaesthetic techniques Anaesthetic techniques for thoracic surgery (Table 10.1) are little different from those used in other forms of major surgery. Anaesthesia is induced intravenously and endobronchial intubation is performed following the administration of a non-depolarizing neuromuscular blocking drug. The depolarizing agent suxamethonium is indicated, however, if a difficult laryngeal int...

In order to evaluate postoperative pain treatment following thoracic surgery, 214 medical records of patients who were operated during 1986-1988 were examined. Nurses' comments concerning pain and the amounts of analgesics given during the 2 postoperative days were recorded. The 150 patients who were still alive in December 1989 were sent a postal questionnaire which asked about the pain and th...

Nanotechnology is an exciting and rapidly progressing field offering potential solutions to multiple challenges in the diagnosis and treatment of lung cancer, with the potential for improving imaging and mapping techniques, drug delivery, and ablative therapy. With promising preclinical results in many applications directly applicable to thoracic oncology, it is possible that the frontiers of m...