Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, PA.
Cardiothoracic Section, Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, NC.
J Cardiothorac Vasc Anesth. 2024 Jan;38(1):29-56. doi: 10.1053/j.jvca.2023.09.006. Epub 2023 Sep 9.
This article reviews research highlights in the field of thoracic anesthesia. The highlights of this year included new developments in the preoperative assessment and prehabilitation of patients requiring thoracic surgery, updates on the use of devices for one-lung ventilation (OLV) in adults and children, updates on the anesthetic and postoperative management of these patients, including protective OLV ventilation, the use of opioid-sparing techniques and regional anesthesia, and outcomes using enhanced recovery after surgery, as well as the use of expanding indications for extracorporeal membrane oxygenation, specialized anesthetic techniques for airway surgery, and nonintubated video-assisted thoracic surgery.
本文综述了胸科麻醉领域的研究要点。今年的研究要点包括:胸外科手术患者术前评估和康复的新进展;成人和儿童单肺通气(OLV)设备使用的最新情况;这些患者的麻醉和术后管理的最新情况,包括保护性 OLV 通气、阿片类药物节约技术和区域麻醉的应用,以及使用术后加速康复的结果;体外膜肺氧合(ECMO)适应证扩大的应用,气道手术的特殊麻醉技术,以及非插管视频辅助胸腔镜手术。