Cerebral aneurysm

Dec 2, 2016 by in ANESTHESIA Comments Off on Cerebral aneurysm

C Cerebral aneurysm 1. Introduction     Cerebral aneurysms are abnormal, localized dilations of the intracranial arteries. They are classified as berry or saccular, mycotic, traumatic, fusiform, neoplastic, or atherosclerotic. Rupture of a…

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Awake craniotomy

Dec 2, 2016 by in ANESTHESIA Comments Off on Awake craniotomy

B Awake craniotomy 1. Introduction     In a small percentage of patients (those in whom a seizure focus may be suppressed during general anesthesia or may be adjacent to an area of…

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Thymectomy

Dec 2, 2016 by in ANESTHESIA Comments Off on Thymectomy

J Thymectomy 1. Introduction     The thymus gland is a bilobate mass of lymphoid tissue located deep into the sternum in the anterior region of the mediastinum. Thymectomy involves two surgical approaches:…

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Thoracotomy

Dec 2, 2016 by in ANESTHESIA Comments Off on Thoracotomy

I Thoracotomy 1. Introduction     Thoracotomy is usually performed in an attempt to resect malignant lung tissue, but it may also be performed for trauma; infections; and parenchymal abnormalities, such as recurrent…

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Thoracoscopy

Dec 2, 2016 by in ANESTHESIA Comments Off on Thoracoscopy

H Thoracoscopy 1. Introduction     Advances in videoscopic technology have led to the increased use of thoracoscopy. The procedure used most commonly involves placing the patient in the lateral decubitus position. A…

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One-lung ventilation

Dec 2, 2016 by in ANESTHESIA Comments Off on One-lung ventilation

DLT, Double-lumen endotracheal tube; ETT, endotracheal tube; WEB, wire-guided endobronchial blocker. From Campos JH. Lung separation techniques. In Kaplan JA, Slinger PD, eds. Thoracic Anesthesia. 3rd ed. Philadelphia: Churchill Livingstone;…

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Mediastinoscopy

Dec 2, 2016 by in ANESTHESIA Comments Off on Mediastinoscopy

F Mediastinoscopy 1. Introduction     Mediastinoscopy involves passing a scope into the mediastinum via an incision above the suprasternal notch. The scope is passed anterior to the trachea in close proximity to…

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Mediastinal masses

Dec 2, 2016 by in ANESTHESIA Comments Off on Mediastinal masses

E Mediastinal masses 1. Introduction     Masses in the mediastinum can compress vital structures and cause changes in cardiac output, obstruction to air flow, atelectasis, or central nervous system changes. Masses can…

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Bullae

Dec 2, 2016 by in ANESTHESIA Comments Off on Bullae

C Bullae 1. Introduction     Bullae are air-filled spaces of lung tissue resulting from the destruction of alveolar tissues and consolidation of alveoli into large pockets. They offer low resistance to inspiration…

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