Thoracoscopic microsurgical technique for vertebral surgery – anesthetic considerations

Background: The thoracoscopic microsurgical technique (TMT) for vertebral and spinal cord surgery is associated with the benefits of reduced postoperative pain, accelerated return to physical activity and reduced complication rates. However, because of the surgeon's requirement of a non‐ventilated lung, it confronts the anesthesiologist with the need for extremely long duration of single‐lung ventilation (SLV).

[1]  I. Yoshiya,et al.  Arterial oxygenation during one lung ventilation , 1997, Canadian journal of anaesthesia = Journal canadien d'anesthesie.

[2]  G. Marquardt,et al.  Anterior decompression and stabilization using a microsurgical endoscopic technique for metastatic tumors of the thoracic spine. , 1996, Journal of neurosurgery.

[3]  C. Dickman,et al.  Thoracic vertebrectomy and reconstruction using a microsurgical thoracoscopic approach. , 1996, Neurosurgery.

[4]  J. Shrager,et al.  Video-assisted thoracic surgery: the current state of the art. , 1995, AJR. American journal of roentgenology.

[5]  T. Scheeren,et al.  Desflurane Inhibits Hypoxic Pulmonary Vasoconstriction in Isolated Rabbit Lungs , 1995, Anesthesiology.

[6]  M. Mack,et al.  A Technical Report on Video‐Assisted Thoracoscopy in Thoracic Spinal Surgery|Preliminary Description , 1995, Spine.

[7]  P. Slinger,et al.  Arterial Oxygenation during One-lung Ventilation: A Comparison of Enflurane and Isoflurane , 1995, Anesthesiology.

[8]  J. Moossy,et al.  Thoracic Discectomy Using Video Assisted Thoracoscopy , 1994, Spine.

[9]  D. Rosenthal,et al.  Removal of a Protruded Thoracic Disc Using Microsurgical Endoscopy: A New Technique , 1994, Spine.

[10]  H. Uno,et al.  Effect of Sevoflurane on Hypoxic Pulmonary Vasoconstriction in the Perfused Rabbit Lung , 1993, Anesthesiology.

[11]  W. Hurford,et al.  A quality improvement study of the placement and complications of double-lumen endobronchial tubes. , 1993, Journal of cardiothoracic and vascular anesthesia.

[12]  R. Dowling,et al.  Video-assisted thoracic surgery: basic technical concepts and intercostal approach strategies. , 1992, The Annals of thoracic surgery.

[13]  M. Mack,et al.  Present role of thoracoscopy in the diagnosis and treatment of diseases of the chest. , 1992, The Annals of thoracic surgery.

[14]  C. S. Thomas,et al.  Videothoracoscopy: improved technique and expanded indications. , 1992, The Annals of thoracic surgery.

[15]  David H. Johnson,et al.  Effects of Halothane on Hypoxic Pulmonary Vasoconstriction in Canine Atelectasis , 1991, Anesthesia and analgesia.

[16]  J. Benumof,et al.  Halothane and Isoflurane Only Slightly Impair Arterial Oxygenation during One‐lung Ventilation in Patients Undergoing Thoracotomy , 1987, Anesthesiology.

[17]  G. Hedenstierna,et al.  Hypoxia‐induced Pulmonary Vasoconstriction in the Human Lung: The Effect of Isoflurane Anesthesia , 1987, Anesthesiology.

[18]  B. Marshall,et al.  Influence of Isoflurane on Hypoxic Pulmonary Vasoconstriction in Dogs , 1986, Anesthesiology.

[19]  J. Benumof,et al.  Halothane and Isoflurane Do Not Decrease Pao2 during One‐Lung Ventilation in Intravenously Anesthetized Patients , 1985, Anesthesia and analgesia.

[20]  J. Benumof One‐Lung Ventilation and Hypoxic Pulmonary Vasoconstriction: Implications for Anesthetic Management , 1985, Anesthesia and analgesia.

[21]  G. Hedenstierna,et al.  Hypoxic Pulmonary Vasoconstriction in the Human Lung: the Effect of Prolonged Unilateral Hypoxic Challenge during Anaesthesia , 1985, Acta anaesthesiologica Scandinavica.

[22]  A. Holmgren,et al.  Effects of Intravenous Anesthesia on &OV0312;A/&OV0312; Distribution: A Study Performed during Ventilation with Air and with 50% Oxygen, Supine and in the Lateral Position , 1985, Anesthesiology.

[23]  B. Marshall,et al.  Effects of Halothane, Enflurane, and Isoflurane on Hypoxic Pulmonary Vasoconstriction in Rat Lungs In Vitro , 1984, Anesthesiology.

[24]  L. Bjertnæs Hypoxia‐induced Pulmonary Vasoconstriction in Man: Inhibition due to Diethyl Ether and Halothane Anesthesia , 1978, Acta anaesthesiologica Scandinavica.

[25]  M. K. Sykes,et al.  The effects of halothane and ether on the pulmonary circulation in the innervated perfused cat lung. , 1977, British journal of anaesthesia.

[26]  L. Bjertnaes,et al.  Hypoxia‐induced Vasoconstriction in Isolated Perfused Lungs exposed to Injectable or Inhalation Anesthetics , 1977, Acta anaesthesiologica Scandinavica.

[27]  J. Benumof,et al.  General anesthetics and regional hypoxic pulmonary vasoconstriction. , 1977, Anesthesiology.

[28]  J. Benumof,et al.  Local Effects of Anesthetics on Regional Hypoxic Pulmonary Vasoconstriction , 1975, Anesthesiology.

[29]  W. M. Barclay Surgery , 1894, Bristol medico-chirurgical journal.

[30]  L. Hand,et al.  Anesthesia in thoracic surgery. , 1951, North Carolina medical journal.