Anaes Vivas · Thoracic anaesthesia & one-lung ventilation
Clinical viva — thoracic anaesthetic technique
Clinical viva on TIVA vs volatile in thoracic — TIVA (propofol) preserves HPV (preferred for severe lung disease); volatile (sevoflurane) acceptable at 1 MAC for moderate (modest HPV inhibition); evidence; other considerations.
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ANZCAFRCAABAEDAIC
Prompt
A junior colleague asks how you choose between TIVA and volatile for thoracic surgery. Walk them through the decision.
Stimulus
A junior colleague asks: "Do you use TIVA or volatile for thoracic surgery, and why?" Walk them through the decision.
[3]References2ShowHide
- [2]Vegh T, et al. Pharmacology of thoracic anesthesia. Curr Opin Anaesthesiol, 2026.PMID 41284736
- [3]Licker M, et al. The hypoxic pulmonary vasoconstriction: From physiology to clinical application in thoracic surgery. Saudi J Anaesth, 2021.PMID 34764832