Anaes Cases · Thoracic anaesthesia & one-lung ventilation
The VATS lobectomy with the OLV
The long case — the VATS lobectomy. The left-DLT, the TIVA (the propofol — the preserves the HPV), the OLV (the 4 mL/kg PBW, the PEEP), the hypoxia-management, the restrictive fluid, the paravertebral/ESP analgesia, and the fast-track.
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Prompt
A 68-year-old man for the right VATS upper-lobectomy for the lung cancer. Discuss the anaesthetic plan.
Presentation
A 68-year-old man, the ASA 2, the FEV1 70 per cent predicted, for the right VATS upper-lobectomy (the T1 lung cancer). Discuss the anaesthetic plan.
References2ShowHide
- [1]Campos JH Current techniques for perioperative lung isolation in adults. Anesthesiology, 2002.PMID 12411817
- [3]Licker M, et al. The hypoxic pulmonary vasoconstriction: From physiology to clinical application in thoracic surgery. Saudi J Anaesth, 2021.PMID 34764832