Surgical pneumothorax allows obtaining comfortable surgical space for minimally invasive thoracic surgery, under spontaneous ventilation and thoracic epidural anesthesia, without need to provide general anesthesia and neuromuscular blockade. One lung ventilation (OLV) by iatrogenic lung collapse, associated with spontaneous breathing and lateral position required for the surgery, involves pathophysiological consequences for the patient, giving rise to hypoxia, hypercapnia, and hypoxic pulmonary vasoconstriction (HPV). Knowledge of these changes is critical to safely conduct this type of surgery. Surgical pneumothorax can be now considered a safe technique that allows the realization of minimally invasive thoracic surgery in awake patients with spontaneous breathing, avoiding the risks of general anesthesia and ensuring a more physiological surgical course.

David, P., Pompeo, E., Fabbi, E., & Dauri, M. (2015). Surgical pneumothorax under spontaneous ventilation-effect on oxygenation and ventilation. ANNALS OF TRANSLATIONAL MEDICINE, 3(8), 106 [10.3978/j.issn.2305-5839.2015.03.53].

Surgical pneumothorax under spontaneous ventilation-effect on oxygenation and ventilation

POMPEO, EUGENIO;DAURI, MARIO
2015-05

Abstract

Surgical pneumothorax allows obtaining comfortable surgical space for minimally invasive thoracic surgery, under spontaneous ventilation and thoracic epidural anesthesia, without need to provide general anesthesia and neuromuscular blockade. One lung ventilation (OLV) by iatrogenic lung collapse, associated with spontaneous breathing and lateral position required for the surgery, involves pathophysiological consequences for the patient, giving rise to hypoxia, hypercapnia, and hypoxic pulmonary vasoconstriction (HPV). Knowledge of these changes is critical to safely conduct this type of surgery. Surgical pneumothorax can be now considered a safe technique that allows the realization of minimally invasive thoracic surgery in awake patients with spontaneous breathing, avoiding the risks of general anesthesia and ensuring a more physiological surgical course.
Pubblicato
Rilevanza internazionale
Articolo
Comitato scientifico
Settore MED/21 - Chirurgia Toracica
Settore MED/41 - Anestesiologia
English
Pneumothorax; awake thoracic surgery; lateral position; minimally invasive surgery; nonintubated thoracic surgery; one lung ventilation (OLV); spontaneous ventilation
David, P., Pompeo, E., Fabbi, E., & Dauri, M. (2015). Surgical pneumothorax under spontaneous ventilation-effect on oxygenation and ventilation. ANNALS OF TRANSLATIONAL MEDICINE, 3(8), 106 [10.3978/j.issn.2305-5839.2015.03.53].
David, P; Pompeo, E; Fabbi, E; Dauri, M
Articolo su rivista
File in questo prodotto:
File Dimensione Formato  
Piero David, ATM 2015.pdf

accesso aperto

Licenza: Copyright dell'editore
Dimensione 322.47 kB
Formato Adobe PDF
322.47 kB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2108/166573
Citazioni
  • ???jsp.display-item.citation.pmc??? 5
  • Scopus 10
  • ???jsp.display-item.citation.isi??? 18
social impact