CASE REPORT
Clinical Pearls in Anaesthesia for Pleurectomy/Decortication for Malignant Mesothelioma
Shagun Bhatia Shah*, Itee Chowdhury, Laleng Mawia Darlong, Priyanka Goyal, Anamica Kansal
Article Information
Identifiers and Pagination:
Year: 2017Volume: 11
First Page: 29
Last Page: 34
Publisher ID: TOATJ-11-29
DOI: 10.2174/1874321801711010029
Article History:
Received Date: 29/12/2016Revision Received Date: 03/03/2017
Acceptance Date: 09/03/2017
Electronic publication date: 30/06/2017
Collection year: 2017
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: (https://creativecommons.org/licenses/by/4.0/legalcode). This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Background:
For most thoracic surgeries (lung resection, esophagectomy) the main purpose of inserting a double lumen tube for lung isolation is providing space for dissection and preventing lung motion by not ventilating (collapsing) the lung undergoing surgery.
Objective:
In addition, during pleurectomy/ decortication surgeries, the anaesthetist can indirectly perform the dissection of pleura from the lung without scrubbing, gloving or holding the scalpel.
Conclusion:
This is accomplished by ventilating the lung undergoing surgery, with large tidal volumes while the surgeon provides static traction to the visceral pleura. These phases alternate with one lung ventilation. A detailed account of anaesthesia for pleurectomy/ decortication follows.