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Anaesthesia for thoracoscopic pleurectomy and ligation of bullae
Author(s) -
Millar F. A.,
Hutchison G. L.,
Wood R. A. B.
Publication year - 1992
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1992.tb04204.x
Subject(s) - medicine , pleurectomy , anesthesia , ligation , surgery , pathology , mesothelioma , peritoneal mesothelioma
Summary A patient is described who, despite severe pre‐operative respiratory disability, had her persistent pneumothorax successfully managed by thoracoscopic pleurectomy. The technique causes considerably less pain and interference with respiratory function postoperatively than does conventional thoracotomy. Potential anaesthetic problems arise because of the necessity of insufflating carbon dioxide at pressures of up to 1 kPa to maintain a pneumothorax during surgery.