It covers all areas specified for the thoracic part of the final fellowship examination, and will help post-fellowship trainees become proficient when first starting out in thoracic anaesthesia. The non-specialist will find it to be a succinct guide to thoracic procedures, and the experienced anaesthetist will be brought up to date on the latest clinical developments.
History and equipment: the evolution of endobronchial apparatus for one lung ventilation and anaesthesia; Pulmonary physiology during one-lung ventilation; Anatomy of the lungs and pleura; Indications and techniques for one-lung ventilation; Surgery on the lungs; Operations on the pleura, diaphragm and chest wall; Tracheal and bronchial surgery; Mediastinal surgery (including thymectomy, myasthenia and retrosternal goitre); Oesophageal surgery; Video-assisted thoracoscopic surgery (VATS); Chest trauma; Paediatric thoracic anaesthesia; Lung volume reduction surgery (LVRS); Anaesthesia for pulmonary thrombo-endarterectomy; Lung transplantation; Common peri-operative problems and complications: pulmonary haemorrhage, empyena, bronchopleural fistula/persistent air leaks; Pain control following thoracic surgery; Specialised modes of respiratory support in thoracic surgical patients; Controversies in thoracic anaesthesia.
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