The Year in Thoracic Anesthesia: Selected Highlights From 2020

Purpose of Review Video-assisted thoracoscopic surgery (VATS) and robotic-assisted thoracoscopic surgery (RATS) are used for anatomic resection of early stage cancer. These surgical techniques require the use of one-lung ventilation (OLV). During OLV, an obligatory intrapulmonary shunt may produce hypoxemia. One method to correct hypoxemia is with the use of continuous positive airway pressure (CPAP). This review focuses on 1) the lung physiology of OLV; 2) application of CPAP in VATS or RATS during supine and lateral position; and 3) the application of CPAP in COVID-19 patients during OLV. Recent Findings Studies have shown the beneficial effects of CPAP to improve oxygenation during OLV while the patient is in the lateral decubitus position. In contrast, studies have shown no benefit on improving oxygenation with CPAP in patients undergoing OLV in supine position. Summary The application of CPAP to the non-dependent lung is one of the options to treat hypoxemia during VATS or RATS.

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Application of Continuous Positive Airway Pressure During Video-Assisted Thoracoscopic Surgery

Campos

Peacher

2021

Curr Anesthesiol Rep

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The Year in Thoracic Anesthesia: Selected Highlights From 2021

Boisen

Fernando

Alfaras-Melainis

et al. 2022

Journal of Cardiothoracic and Vascular Anesthesia

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Serratus Anterior Plane Block versus Erector Spinae Plane Block for Thoracoscopic Surgery: Response to Sun et al

et al. 2022

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The Year in Thoracic Anesthesia: Selected Highlights From 2020

Cited by 3 publications

References 118 publications

Application of Continuous Positive Airway Pressure During Video-Assisted Thoracoscopic Surgery

Application of Continuous Positive Airway Pressure During Video-Assisted Thoracoscopic Surgery

The Year in Thoracic Anesthesia: Selected Highlights From 2021

Serratus Anterior Plane Block versus Erector Spinae Plane Block for Thoracoscopic Surgery: Response to Sun et al

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