Lobectomy

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. "three legged stool" to estimate postoperative lung function - most commonly: PFT's to estimate ppoDLCO & ppoFEV1, functional status / echo
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
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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

Regional and neuraxial techniques

Non-opiate post-operative pain management is particularly important in this patient population due to reduced pulmonary reserve and rib pain post-operatively that may prevent effective secretion mobilization and lung expansion.

• Paravertebral Block
• Erector Spinae Block
• Epidural - if thoracotomy

Procedure variants

	Variant 1	Variant 2
Unique considerations
Position
Surgical time
EBL
Postoperative disposition
Pain management
Potential complications