Anesthesia Case Management for Video-Assisted Thoracoscopic Surgery.
As the population ages, the number of patients in whom lung disease develops and who require surgical intervention will continue to rise. When compared with open thoracotomy, video-assisted thoracoscopic surgery (VATS) offers patients significant advantages. Decreased invasiveness results in less bl...
| Publicado en: | AANA Journal Vol. 81; no. 1; pp. 65 - 73 |
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| Autores principales: | , , , , , , |
| Formato: | pictorial tables/charts Journal Article |
| Publicado: |
American Association of Nurse Anesthetists
Feb2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=85586576&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 85586576 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00946354 GLR jtl: AANA Journal issn: 00946354 maglogo: N pubinfo: dt: Feb2013 vid: 81 iid: 1 pid: 11824 pub: American Association of Nurse Anesthetists place: Park Ridge, Illinois artinfo: ui: 85586576 85586576 108035482 85586576 ppf: 65 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Anesthesia Case Management for Video-Assisted Thoracoscopic Surgery. aug: au: Kitabjian, Loretta Bordi, Sandy Elisha, Sass Gabot, Mark Heiner, Jeremy Nagelhout, John Thompson, Jennifer affil: CRNA at Kaiser Permanente, Panorama City, California sug: subj: Thoracic Surgery Intubation, Intratracheal Endotracheal Tubes Anesthesia Anesthesia Nursing Surgical Patients Lung Physiology Preoperative Care Radiography, Thoracic Respiratory Function Tests Bronchoscopy Postoperative Care ab: As the population ages, the number of patients in whom lung disease develops and who require surgical intervention will continue to rise. When compared with open thoracotomy, video-assisted thoracoscopic surgery (VATS) offers patients significant advantages. Decreased invasiveness results in less blood loss, a lower rate of infection, and less postoperative pain and allows for quicker recovery. A description of the significant physiologic changes related to pulmonary blood flow, ventilation, and perfusion when patients are placed in the lateral decubitus position is included. A common method of providing one-lung ventilation during VATS is via a double-lumen endotracheal tube. Proper use, placement, ventilation strategies, and methods to minimize the incidence and treat hypoxia for a double-lumen tube are reviewed. One-lung ventilation poses significant challenges for anesthetists. As a result, adequate preparation during the preoperative, intraoperative, and postoperative phases is essential. pubtype: Academic Journal doctype: pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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