Author:
Shah Shagun Bhatia,Chowdhury Itee,Darlong Laleng Mawia,Goyal Priyanka,Kansal Anamica
Abstract
Background:
For most thoracic surgeries (lung resection, esophagectomy) the main purpose of inserting a double lumen tube for lung isolation is providing space for dissection and preventing lung motion by not ventilating (collapsing) the lung undergoing surgery.
Objective:
In addition, during pleurectomy/ decortication surgeries, the anaesthetist can indirectly perform the dissection of pleura from the lung without scrubbing, gloving or holding the scalpel.
Conclusion:
This is accomplished by ventilating the lung undergoing surgery, with large tidal volumes while the surgeon provides static traction to the visceral pleura. These phases alternate with one lung ventilation. A detailed account of anaesthesia for pleurectomy/ decortication follows.
Publisher
Bentham Science Publishers Ltd.
Subject
Anesthesiology and Pain Medicine