Physiologic Changes of Pregnancy Brenda A. Bucklin Andrea J. Fuller Unique anatomic and physiologic modifications occur during pregnancy, labor, delivery, and the postpartum period. Every organ system undergoes changes—from the…
Physiology of One-Lung Ventilation Raquel R. BartzRichard E. Moon Optimal operating conditions for many cardiothoracic procedures require collapse of one lung, producing a challenge for the anesthesiologist who…
Acute and Chronic Post-Thoracotomy Pain Srinivas PyatiDavid R. LindsayThomas Buchheit Key Points 1. Without adequate analgesia, most patients would experience severe pain following thoracic surgery. 2. Epidural analgesia…
Therapeutic Bronchoscopy, Airway Stents, and Other Closed Thorax Procedures Scott ShoferMomen M. WahidiIan J. Welsby Key Points 1. Therapeutic bronchoscopy is most commonly employed to treat patients with…
Pericardial Window Procedures Hilary P. GrocottHarleena GulatiG. Burkhard Mackensen Key Points 1. Patients presenting for pericardial drainage procedures require a thorough, but often urgent, preoperative evaluation in order…
Lung Volume Reduction Surgery Alina NicoaraJoseph P. Mathew Key Points 1. For the anesthesiologist, lung volume reduction surgery is a challenging procedure and the tailoring of the anesthetic…
Extrapleural Pneumonectomy Timothy E. Miller Key Points 1. In an extrapleural pneumonectomy the lung is removed en bloc, together with parietal and visceral pleura, ipsilateral hemidiaphragm and pericardium,…
Mediastinal Masses: Implications for Anesthesiologists Shahar Bar-Yosef Key Points 1. The patient with an anterior mediastinal mass who undergoes general anesthesia is at risk of developing severe perioperative…
Esophageal Cancer Operations Mark F. BerryRebecca A. Schroeder Key Points 1. Esophagectomy is associated with considerable morbidity and mortality despite improvements in surgical technique and perioperative care. 2….
Anesthesia for Lung Transplantation Wendy L. PabichMihai V. Podgoreanu Key Points 1. Preoperative respiratory assessment should include pulmonary function tests, ventilation/perfusion (V/Q) scans, and an arterial blood gas….
