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Thoracic anesthesia

Thoracic Anesthesia presents a challenge to the Anesthesiologist.The long term survival of patients with undergoing any type of thoracic surgery is poor and they are at significant risk of postoperative pulmonary complications. However with risk identification, pre-operative optimisation and appropriate anaesthetic management, the risks of developing postoperative pulmonary complications can be reduced even in patients with severe disease. Patients vary in their presentation - from the asymptomatic and undiagnosed to those with a severely disabling systemic disease. Optimization for surgery includes preoperative treatment of reversible airway obstruction and respiratory infections, smoking cessation, and possibly nutritional interventions. Meticulous intraoperative monitoring combined with a sound understanding of pathophysiological mechanisms underlying air trapping will help clinicians strike a balance between permissive hypercapnia and adequate ventilation. It is useful to think of the respiratory function in four related but somewhat independent areas: respiratory mechanics, gas exchange,ventilation - perfusion and cardio - respiratory interaction. Recent advances in anaesthetic care have improved outcomes for patients coming for thoracic surgery. Kindly clickon the link below: https://www.raaonline.co.in/package/5...