Department of Anesthesiology, Boston Medical Center, 750 Albany Street, Power Plant, 2nd Floor, Boston, MA 02118, USA.
Surgical Intensive Care Unit, Department of Anesthesiology, Boston University School of Medicine, Boston Medical Center, 750 Albany Street, Power Plant, 2nd Floor, Boston, MA 02118, USA.
Thorac Surg Clin. 2020 Aug;30(3):279-291. doi: 10.1016/j.thorsurg.2020.04.011. Epub 2020 Apr 28.
The intraoperative anesthetic management for thoracic surgery can impact a patient's postoperative course, especially in patients with significant lung disease. One-lung ventilation poses an inherent risk to patients, including hypoxemia, acute lung injury, and right ventricular dysfunction. Patient-specific ventilator management strategies during one-lung ventilation can reduce postoperative morbidity.
胸外科手术的术中麻醉管理会影响患者的术后病程,尤其是在患有严重肺部疾病的患者中。单肺通气会给患者带来固有风险,包括低氧血症、急性肺损伤和右心室功能障碍。单肺通气期间针对特定患者的呼吸机管理策略可以降低术后发病率。