Difference between revisions of "Lobectomy"
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{{Infobox surgical procedure | {{Infobox surgical procedure | ||
| anesthesia_type = | | anesthesia_type = General | ||
| airway = | | airway = DLT, ETT with bronchial blocker | ||
| lines_access = | | lines_access = PIV, large bore IV, arterial line on dependent side in lateral position, | ||
| monitors = | | monitors = Standard, 5-lead, | ||
| considerations_preoperative = | | considerations_preoperative = Chronic respirtory disease, chronic smokers and sequelae, coexisting cardiovascular disease. | ||
| considerations_intraoperative = | </br> "three legged stool" to estimate postoperative lung function - most commonly: PFT's to estimate ppoDLCO & ppoFEV1, functional status / echo | ||
| considerations_postoperative = | | considerations_intraoperative = One lung ventilation, protective lung ventilation, managing hypoxia on one lung ventilation, thoracotomy vs minimally invasive approach | ||
| considerations_postoperative = analgesia: if VATS, regional block or PCA sufficient; if thoracotomy, epidural or PVB preferred | |||
}} | }} | ||
Latest revision as of 07:30, 8 February 2024
Lobectomy
| Anesthesia type |
General |
|---|---|
| Airway |
DLT, ETT with bronchial blocker |
| Lines and access |
PIV, large bore IV, arterial line on dependent side in lateral position, |
| Monitors |
Standard, 5-lead, |
| Primary anesthetic considerations | |
| Preoperative |
Chronic respirtory disease, chronic smokers and sequelae, coexisting cardiovascular disease.
|
| Intraoperative |
One lung ventilation, protective lung ventilation, managing hypoxia on one lung ventilation, thoracotomy vs minimally invasive approach |
| Postoperative |
analgesia: if VATS, regional block or PCA sufficient; if thoracotomy, epidural or PVB preferred |
| Article quality | |
| Editor rating | |
| User likes | 0 |
Provide a brief summary of this surgical procedure and its indications here.
Preoperative management
Patient evaluation
| System | Considerations |
|---|---|
| Neurologic | |
| Cardiovascular | |
| Pulmonary | |
| Gastrointestinal | |
| Hematologic | |
| Renal | |
| Endocrine | |
| Other |
Labs and studies
Operating room setup
Patient preparation and premedication
Regional and neuraxial techniques
Intraoperative management
Monitoring and access
Induction and airway management
Positioning
Maintenance and surgical considerations
Emergence
Postoperative management
Disposition
Pain management
Potential complications
Procedure variants
| Variant 1 | Variant 2 | |
|---|---|---|
| Unique considerations | ||
| Position | ||
| Surgical time | ||
| EBL | ||
| Postoperative disposition | ||
| Pain management | ||
| Potential complications |