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Anaesthesia management for bronchoscopic and surgical lung volume reduction

Title: Anaesthesia management for bronchoscopic and surgical lung volume reduction
Authors: Grande, Bastian; Loop, T
Source: Grande, Bastian; Loop, T (2018). Anaesthesia management for bronchoscopic and surgical lung volume reduction. Journal of Thoracic Disease, 10(Supp 23):1-6.
Publisher Information: AME Publishing Company
Publication Year: 2018
Collection: University of Zurich (UZH): ZORA (Zurich Open Repository and Archive
Subject Terms: Institute of Anesthesiology; 610 Medicine & health
Description: Optimizing the patient’s condition before the lung volume reduction (LVR) according to recommendations by American College of Cardiology/American Heart Association (ACC/AHA) guideline on perioperative cardiovascular evaluation is mandatory. Implementation of a multimodal analgesia concept and the use short-acting anaesthetics enhances recovery and avoids postoperative pulmonary complications. Normovolemia, normothermia, lung protective ventilation and an evidence-based concept of airway management (i.e., double-lumen tube, bronchus blocker) are suggested for intraoperative management of surgical lung volume reduction (SLVR). General anaesthesia (using remifentanil, propofol and mivacurium) with an i-gel® supraglottic airway device should be used for bronchoscopic lung volume reduction (BLVR). Jet ventilation through rigid bronchoscopy or with a jet catheter may be an alternative concept. Experienced consultants should perform anaesthesia for LVR.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: German; English
ISSN: 2072-1439
Relation: https://www.zora.uzh.ch/id/eprint/153252/1/Anesthesia_management_LVRS_BLVR.pdf; urn:issn:2072-1439
DOI: 10.21037/jtd.2018.02.46
Availability: https://www.zora.uzh.ch/id/eprint/153252/; https://www.zora.uzh.ch/id/eprint/153252/1/Anesthesia_management_LVRS_BLVR.pdf; http://jtd.amegroups.com/article/view/19878; https://doi.org/10.21037/jtd.2018.02.46
Rights: info:eu-repo/semantics/openAccess ; Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) ; http://creativecommons.org/licenses/by-nc-nd/4.0/
Accession Number: edsbas.B071D58D
Database: BASE