Zusammenfassung
Überlegungen zur Anästhesie und Intensivtherapie bei Patienten mit pulmonalen Malignomen betreffen neben pulmonal-funktionellen Aspekten zunächst die Besonderheiten der häufig damit verknüpften Vorerkrankungen sowie Einwirkungen der perioperativen Maßnahmen auf die Krebskrankheit selbst. Sodann müssen die anästhesiologischen und intensiv medizinischen Verfahren betrachtet werden, die moraxchirurgische Patienten im allgemeinen betreffen. Die speziellen Erfordernisse der Zusammenarbeit zwischen Operateur und Anästhesist werden beim pulmonalen Malignom dann deutlich, wenn Eingriffe am Bronchialbaum oder die Resektion von multiplen Metastasen durchgeführt werden. Schließlich haben in der postoperativen Phase sowohl Anästhesist als auch Chirurg zur Sicherung der Atmung und Sekretbefreiung das Zusammenspiel von Schmerzbekämpfung und operativen Luftwegszugängen abzuwägen.
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Literatur
Anderson EW, Andelman RJ, Strauch JM, Fortuin NJ, Knelson JH (1973) Effect of low level carbon monoxide exposure on onset and duration of angina pectoris. Ann Intern Med 79:46–50
Benumof JL (1987) Anesthesia for thoracic surgery. Saunders, Philadelphia, p 213
Cannon D, Kalso EJ, Sykes MK (1988) Effects of the pattern of Ventilation and of an increase in cardiac Output on the distribution of blood flow to a hypoxic lung lobe. Br J Anaesth 60:81–90
Chalon J, Tayyab MA, Ramanathan S (1975) Cytology of respiratory epithelium as a predictor of respiratory complication of surgical operation. Chest 67:32–35
Cole P (1981) Smoking habits and carbon monoxide. In: Greengalg RM (ed) Smoking and arterial disease. Pitman, Bath, pp 74–83
Davies JM, Latto EP, Jones JG, Veale A, Wardrop CAJ (1979) Effects of stopping smoking for 48 hours on oxygen availability from the blood: a study on pregnant women. Br Med J 2:355–356
Department of Health and Human Services (1983) The health consequences of smoking: cardiovascular disease. A report of the Sugeon General. Rockville/MD
Glickmann L, Herbsman H (1968) Delirium tremens in surgical patients. Surgery 64:882–890
Goldiner PL, Carlon G, Cvitkovic E, Schweizer O, Howland WS (1978) Factors influencing postoperative morbidity and mortality in patients treated with bleomycin. Br Med J 1:1664–1667
Hurford WE, Kolker AC, Strauss HW (1987) The use of ventilation/perfusion lung scans to predict oxygenation during one-lung anesthesia. Anesthesiology 67:841–844
Maiwand MO, Markey AR, Rees A (1986) Cryoanalgesia after thoracotomy. Improvement of technique and review of 600 cases. J Thorac Cardiovasc Surg 92:291–295
Marshail BE, Longnecker DE, Fairley HB (1988) Anesthesia for thoracic procedures. Blackwell Boston, p 397
Matalon S, Harper WV, Nickerson PA (1986) Intravenous bleomycin does not alter the toxic effects of hyperoxia in rabbits. Anesthesiology 64:614–619
Melendez JA, Cirella VN, Delphin ES (1989) Lumbar epidural fentanyl analgesia after thoracic surgery. J Cardiothorac Anesth 3:150–153
Pearce AC, Jones RM (1984) Smoking and anesthesia: preoperative abstinence and perioperative morbidity. Anesthesiology 61:576–584
Rudders RA, Mensley GT (1976) Bleomycin pulmonary toxicity. Chest 63:626–628
Selvin BL (1981) Cancer chemotherapy: implications for the anesthesiologist. Anesth Analg 60:425–434
Stevenson GW, Hall SC, Rudnick S, Seleny F, Stevenson HC (1990) The effect of anesthetic agents on the human immune response. Anesthesiology 72:542–552
Symreng T, Gomez MN, Johnson B, Rossi NP, Chiang CK (1989a) Intrapleural bupivacaine — technical considerations and intraoperative use. J Cardiothorac Anesth 3:139–143
Symreng T, Gomez MN, Rossi NP (1986b) Intrapleural bupivacaine v. saline after thoracotomy — effects on pain and lung function — a double blind study. J Cardiothorac Anesth 3:144–149
Tartter PI, Burrows L, Kirschner P (1984) Perioperative blood transfusion adversely affects prognosis after resection of stage 1(NO) non-oat cell lung cancer. J Thor Cardiovasc Surg 88:659–662
Iremper KK, Barker SJ (1989) Pulse oximetry. Anesthesiology 70:98–108
Werner-Favre C, Jeannet M, Härder F (1979) Blood transfusions, cytotoxic antibodies and kidney graft survival. Transplantation 28:343–346
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© 1991 Springer-Verlag, Berlin Heidelberg
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Wiedemann, K., Haug, U. (1991). Anästhesiologische Probleme in der Thoraxchirurgie bei Malignomträgern. In: Drings, P., Vogt-Moykopf, I. (eds) Thoraxtumoren. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-97848-7_13
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DOI: https://doi.org/10.1007/978-3-642-97848-7_13
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