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Anesthesiology pp 131-139 | Cite as

Anesthesia for Pleural and Chest Wall Surgery

  • Jonathan Rost
  • Jeffery Gerritsen
  • Talia K. Ben-Jacob
Chapter

Abstract

Chest wall surgery includes cases such as resection for chest wall tumors, repair of pectus excavatum or carinatum, thoracoplasty and chest wall reconstruction. Procedures involving the pleural cavity include drainage of empyema, drainage of pleural effusions, decortication, thoracentesis, pleurodesis, and chest tube thoracostomy. These cases often present anesthetic challenges and require interdisciplinary cooperation. This chapter will discuss the physiologic considerations and alterations during chest wall and pleural cavity surgery and suggest the complete preoperative work-up. It will also delve into intraoperative considerations and monitoring as well as regional anesthetic techniques for postoperative pain control. A brief discussion of postoperative complications and special considerations for certain surgeries will be reviewed.

Keywords

Anesthesia Chest wall Pleural cavity Nuss procedure Clagett’s procedure Rib resections Eloesser flaps Empyema Hemothorax Bronchopleural fistula Decortication Pleurodesis 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Jonathan Rost
    • 1
  • Jeffery Gerritsen
    • 1
  • Talia K. Ben-Jacob
    • 2
  1. 1.Department of AnesthesiologyCooper University HospitalCamdenUSA
  2. 2.Division of Critical Care, Department of AnesthesiologyCooper Medical School of Rowan University, Cooper University HospitalCamdenUSA

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