Anesthetic Management of Post-Thoracotomy Complications

Raiten, Jesse; Blank, Randal S.

doi:10.1007/978-1-4419-0184-2_41

Cited by 2 publications

(6 citation statements)

References 38 publications

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“…There is greater risk of vocal cord injuries if the intubating conditions are poor, more proximal type of surgery, use of larger size DLT. [ 12 ] The overall incidence of bronchial injury was 25%, and vocal cord injury was 30% in those undergoing pulmonary resections. [ 13 ]…”

Section: Post-thoracotomy Complicationsmentioning

confidence: 99%

“…In extreme scenarios when the suctioning of blood and secretions becomes absolutely imperative, a larger sized DLT may be needed to replace the smaller one. [ 12 ]…”

Section: Post-thoracotomy Complicationsmentioning

confidence: 99%

“…Vocal cords are difficult to examine after the trachea has been intubated. [ 12 ] If the patient is clinically stable and the symptoms are mild, it would be reasonable to treat this condition with oxygen by mask, steroids and racemic adrenaline. Flexible fibreoptic laryngoscopy may be subsequently done to examine the vocal cords and establish the diagnosis.…”

Section: Post-thoracotomy Complicationsmentioning

confidence: 99%

“…Effects of heliox are apparent instantly and most of the clinical work has been in the paediatric population. [ 12 ]…”

Section: Post-thoracotomy Complicationsmentioning

confidence: 99%

“…Spontaneous ventilation is always desirable, but if positive pressure ventilation is deemed necessary, low inspiratory pressures should be aimed for. [ 12 ]…”

Section: Air Leak Pneumothorax and Bronchopleural Fistulamentioning

confidence: 99%

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Post-operative pulmonary complications after thoracotomy

Sengupta

2015

Indian J Anaesth

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Pulmonary complications are a major cause of morbidity and mortality in the post-operative period after thoracotomy. The type of complications and the severity of complications depend on the type of thoracic surgery that has been performed as well as on the patient's pre-operative medical status. Risk stratification can help in predicting the possibility of the post-operative complications. Certain airway complications are more prone to develop with thoracic surgery. Vocal cord injuries, bronchopleural fistulae, pulmonary emboli and post-thoracic surgery non-cardiogenic pulmonary oedema are some of the unique complications that occur in this subset of patients. The major pulmonary complications such as atelectasis, bronchospasm and pneumonia can lead to respiratory failure. This review was compiled after a search for search terms within ‘post-operative pulmonary complications after thoracic surgery and thoracotomy’ on search engines including PubMed and standard text references on the subject from 2000 to 2015.

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Section: Post-thoracotomy Complicationsmentioning

confidence: 99%

“…In extreme scenarios when the suctioning of blood and secretions becomes absolutely imperative, a larger sized DLT may be needed to replace the smaller one. [ 12 ]…”

Section: Post-thoracotomy Complicationsmentioning

confidence: 99%

Section: Post-thoracotomy Complicationsmentioning

confidence: 99%

“…Effects of heliox are apparent instantly and most of the clinical work has been in the paediatric population. [ 12 ]…”

Section: Post-thoracotomy Complicationsmentioning

confidence: 99%

“…Spontaneous ventilation is always desirable, but if positive pressure ventilation is deemed necessary, low inspiratory pressures should be aimed for. [ 12 ]…”

Section: Air Leak Pneumothorax and Bronchopleural Fistulamentioning

confidence: 99%

See 3 more Smart Citations