Anesthesia for Thoracic Surgery

Stroke volume variation fail to predict fluid responsiveness in patients undergoing pulmonary lobectomy with one-lung ventilation using thoracotomy

“…During OLV, there is a 20-30% shunt through the non-ventilated lung even with optimal management. This shunt amount does not contribute to the generation of SVV because there is no cyclic change of intra-thoracic pressure in the non-ventilated lung (19). The results showed that SVV before the fluid challenge in both responders and nonresponders was fairly normal, we speculated that SVV was mainly associated with pulmonary flow distribution, did not correlate positively with tidal volume.…”

Evaluation of stroke volume variation and pulse pressure variation as predictors of fluid responsiveness in patients undergoing protective one-lung ventilation

“…OLV-induced hypoxic pulmonary vasoconstriction and intrapulmonary shunt can partially affect changes in airway pressure (25), which is the reason for employing P MAX in this study. However, no significant differences were observed in P MAX between patients in Group P and Group C, which is likely a consequence of the specific surgical procedure of combined laparoscopy and thoracoscopy, the specific model of the double-lumen endotracheal tube and male-dominated subjects.…”

Randomised, Controlled Study of Preoperative Eletroacupuncture for Postoperative Pain Control after Cardiac Surgery

“…1 2 Multiple nociceptive stimulants occur in thoracotomy procedures such as surgical incision, insertion of chest tubes and mediastinal and parietal pleura stimulation, making the provision of analgesia quite complex and requiring a combination of techniques and medication. 4 Effi cient pain control can reduce post-thoracotomy complications. 4 As one of the analgesic methods available, pre-emptive analgesia aims to reduce central sensitisation and amplifi cation processes in the spinal cord before injury has occurred.…”

“…4 Effi cient pain control can reduce post-thoracotomy complications. 4 As one of the analgesic methods available, pre-emptive analgesia aims to reduce central sensitisation and amplifi cation processes in the spinal cord before injury has occurred. 1 In most cases, pain control is obtained from the administration of opioids, which might in turn incur several undesirable side effects like nausea, vomiting and decreased level of consciousness.…”