THORACIC ANESTHESIA

INDEX

🫁 General Principles

  1. Respiratory physiology relevant to thoracic anesthesia
  2. Hypoxic pulmonary vasoconstriction 
  3. One-lung ventilation (OLV) 
  4. Devices for lung isolation – DLT, bronchial blockers, Univent tubes
  5. Preoperative pulmonary evaluation for thoracic surgery

🫁 Anesthesia Techniques for Thoracic Procedures

  1. Anesthesia for lobectomy, pneumonectomy, segmentectomy
  2. Anesthesia for thoracotomy and VATS (Video-Assisted Thoracoscopic Surgery)
  3. Anesthesia for mediastinal mass 
  4. Anesthesia for esophagectomy 
  5. Anesthesia for tracheal surgery and airway reconstruction
  6. Anesthesia for lung transplantation
  7. High-frequency jet ventilation (HFJV) in thoracic procedures

🫁 Airway Management

  1. Techniques of lung isolation – placement, confirmation, troubleshooting
  2. Fiberoptic bronchoscopy – role in thoracic anesthesia
  3. Airway management in patients with tracheal stenosis or tumors

🫁 Monitoring and Intraoperative Care

  1. Monitoring during thoracic surgery – arterial line, CVP, TEE
  2. Fluid management strategies – restrictive vs liberal
  3. Blood conservation techniques in thoracic surgery
  4. Management of hypoxemia during one-lung ventilation

🫁 Postoperative and ICU Care

  1. Post-thoracotomy pain management – epidural, paravertebral, ESP block
  2. Enhanced Recovery After Surgery (ERAS) in thoracic surgery
  3. Complications of thoracic surgery – air leaks, bronchopleural fistula
  4. Anesthesia considerations in empyema and decortication