Pneumonectomy, lobectomy
Clinical Procedure
 
Aliases:
Lung resection
Wedge resection
Pulmonary resection

Topic aliases are alternate phrasings for a particular topic.


You cannot endorse your own point endorse endorse
Anesthetic considerations may be divided into three broad areas: the pre-operative assessment of fitness for pneumonectomy and optimisation, the conduct of anaesthesia with particular reference to one-lung anaesthesia, positioning, intra-operative monitoring and fluid balance, and finally, post-operative care

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Dec 15, 2012
Cancel
You cannot endorse your own point endorse endorse
Mediastinal herniation is a differential in post-operative hypotension following pneumonectomy. Ensure ICC not on suction, and place patient with thoracotomy side up.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Nov 28, 2011
Download attachment
Cancel
You cannot endorse your own point endorse endorse
"Anaesthetists are not gatekeepers. Nearly anyone with a resectable lung malignancy is an operative candidate.
Anaesthetists role is to identify high-risk pts and focus resources to improve outcomes." refl.in/h8

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 31, 2011
You cannot endorse your own point endorse endorse
Flowchart to evaluate/assess suitability for lung resection.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only

(1 comment)

 
delete
own this
Mar 12, 2012
#ref
Edit | (delete)
Cancel
You cannot endorse your own point endorse endorse
ICC on drainage but not suction

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
May 25, 2011
Cancel
You cannot endorse your own point endorse endorse
For the purpose of calculating postoperative mechanical function, total number of lung subsegments is 42. Contribution of each lobe as follows. LUL = 10, LLL = 10, RUL = 4, RML = 6, RLL = 8. From refl.in/63

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Mar 12, 2012
Cancel
You cannot endorse your own point endorse endorse
6-8ml/kg tidal volume to reduce risk of acute lung injury. (extrapolated from the ARDSNet trial)

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only

(1 comment)

 
delete
own this
Dec 19, 2011
#ref
Edit | (delete)
You cannot endorse your own point endorse endorse
May require bronchoscopy through single lumen endotracheal (ETT) first

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
May 18, 2011
Cancel
You cannot endorse your own point endorse endorse
For an average adult patient, crystalloid administration should be limited to < 3 L in the first 24 hours. Miller 7th ed Table 59-17

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 06, 2011
You cannot endorse your own point endorse endorse
If increased tissue perfusion is needed postoperatively, it is preferable to use invasive monitoring and inotropes rather than to cause fluid overload. Miller 7th ed Table 59-17

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 06, 2011
Download attachment
You cannot endorse your own point endorse endorse
In addition to the increased pulmonary vasculature resistance due to resection of a fraction of the cross-section of the pulmonary vasculature, hypoxaemia,
acidosis, vasoconstrictor drugs, and fluid overload also contribute to increased right heart afterload, predisposing to right ventricular failure.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Mar 17, 2012
Download attachment
Cancel
You cannot endorse your own point endorse endorse
Factors which may contribute to postoperative hypoxaemia and hypercarbia include soiling of the remaining lung during surgery and pulmonary oedema secondary to the decreased vascular bed

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Jul 26, 2011
Cancel
0
Video
6
Other
You cannot endorse your own point endorse endorse
Patients with good preoperative spirometric pulmonary function tests tend to have lower PaO2 values during one-lung anaesthesia than patients with poor spirometry. refl.in/8z

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Jul 07, 2011
Download attachment
You cannot endorse your own point endorse endorse
Predictors for need for postoperative ventilation include: Red blood cell transfusion; renal impairment; lower preoperative FEV1; more extensive lung resection. refl.in/62

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
May 25, 2011
You cannot endorse your own point endorse endorse
Surgeon may inadvertantly stimulate vagal nerve. Be alert for episodes of bradycardia.

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Dec 19, 2011
You cannot endorse your own point endorse endorse
The usual Hct of post-operative drainage fluid is < 20%, values higher than this should raise the suspicion of
haemorrhage #ref

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Jul 26, 2011
Download attachment
You cannot endorse your own point endorse endorse
Three legged stool approach to assessment of suitability for lung resection. Lung mechanics, parenchymal function, and cardiorespiratory reserve. Image from refl.in/63

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Mar 12, 2012
You cannot endorse your own point endorse endorse
Total positive fluid balance in the first 24-hour perioperative period should not exceed 20 mL/kg. Miller 7th ed Table 59-17

Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.


Cancel
attachment
Endorsed by , more...
Locksmallsmush Private
Locksmallsmush only
Locksmallsmush only


delete
own this
Aug 06, 2011
Cancel