Video-Assisted Thoracoscopic Surgery (VATS) 

 

 

Anesthetic Considerations

 

  • Indication for procedure & patient comorbidities

  • Requirement for lung separation (not isolation) & associated considerations

  • Management of hypoxemia in the context of VATS

  • Postoperative pain management modality

  • Risk of conversion to thoracotomy

 

 

Goals

 

  • Provide excellent surgical conditions (e.g. optimal lung isolation)

  • Hypoxemia during one lung ventilation with VATS focused management

  • Avoid interventions to surgical lung (CPAP, two-lung ventilation)

  • Good postoperative analgesia: epidural, PCA, paravertebral block 

 

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