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Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Episode 188: Anesthesia for Thoracic Surgery

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Jed Wolpaw

Health & Fitness

4.71.5K Ratings

🗓️ 24 November 2020

⏱️ 32 minutes

🧾️ Download transcript

Summary

In this 188th episode I discuss the approach to Anesthesia for patients having thoracic surgery including highly tested concepts for board exams. Reference: Clinical Anesthesia. 2017. 8th Ed. Barash, Paul G.; Cullen, Bruce F.; Stoelting, Robert K.; Cahalan, Michael K.; Stock, M. Christine; Ortega, Rafael; Sharar, Sam R.; Holt, Natalie F.Publisher: Lippincott Williams & Wilkins … Continue reading "Episode 188: Anesthesia for Thoracic Surgery" Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0

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time on the things you love being confident your family and income are protected. Hello and today we're going to talk about anesthesia for thoracic surgery. I've had a lot of requests for this and so decided to put something together.

1:18.0

A lot of this comes from the fantastic textbook, Barish clinical anesthesia. I highly recommend it for folks looking

1:24.8

for a good textbook out there. I make no money from it at all and have no relationship

1:29.8

other than that I think it's a great textbook and they do a great job.

1:33.4

All right, so let's talk about thoracic surgery.

1:36.5

Initially, preoperatively, one of the big things and this gets tested quite a lot

1:42.0

is the need to focus on the extent and

1:44.2

severity of both pulmonary and cardiac disease to figure out if the patient can

1:48.7

tolerate the procedure. The most common complications after thorlectasis, and so you want to take that into account.

1:59.0

Folks who are at high risk are folks with advanced age, poor health status, COPD, though obviously

2:06.2

that's a common indicator for thoracic surgery if it's bad enough.

2:10.7

Folks who are obese with a BMI greater than 30, with a low initial FE1 and a low post-op

2:16.7

predicted FE1.

2:17.7

Now we'll get back to talking about post-op predicted spirometry values because that does

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