Skip to main content Accessibility help
Hostname: page-component-5d59c44645-dknvm Total loading time: 0 Render date: 2024-02-26T22:03:00.330Z Has data issue: false hasContentIssue false

Chapter 16 - Thoracic Anesthesia

Published online by Cambridge University Press:  24 May 2023

Alan David Kaye
Louisiana State University School of Medicine
Richard D. Urman
Brigham and Women’s Hospital, Boston
Get access


This is by far the most important aspect of preoperative assessment. Any patient with a score >2 should be referred to cardiology for additional testing. The Revised Cardiac Risk Index is shown in Table 16.1.

Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)


Salati, M, Brunelli, A. Risk stratification in lung resection. Curr Surg Rep. 2016;4(11):37.CrossRefGoogle ScholarPubMed
Mehrotra, M, Jain, A. Single lung ventilation. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2021. Available from: Scholar
Blank, RS, Colquhoun, DA, Durieux, ME, et al. Management of one-lung ventilation: impact of tidal volume on complications after thoracic surgery. Anesthesiology. 2016;124(6):1286–95.Google Scholar
Colquhoun, DA, Naik, BI, Durieux, ME, et al. Management of one lung ventilation– variation and trends in clinical practice: a report from the Multicenter Perioperative Outcomes Group (MPOG). Anesth Analg. 2018;126(2):495502.Google Scholar
Karzai, W, Schwarzkopf, K. Hypoxemia during one-lung ventilation: prediction, prevention, and treatment. Anesthesiology. 2009;110(6):1402–11.CrossRefGoogle ScholarPubMed
Inoue, S, Nishimine, N, Kitaguchi, K, Furuya, H, Taniguchi, S. Double lumen tube location predicts tube malposition and hypoxaemia during one lung ventilation. Br J Anaesth. 2004;92(2):195201.Google Scholar
Kaye, AD, Urman, RD, eds. Thoracic Anesthesia Procedures. New York, NY: Oxford University Press; 2021.Google Scholar
Licker, M, Triponez, F, Ellenberger, C, Karenovics, W. Fluid therapy in thoracic surgery: a zero-balance target is always best! Turk J Anaesthesiol Reanim. 2016;44(5):227–9.CrossRefGoogle ScholarPubMed
Feng, S, Yang, S, Xiao, W, Wang, X, Yang, K, Wang, T. Effects of perioperative goal-directed fluid therapy combined with the application of alpha-1 adrenergic agonists on postoperative outcomes: a systematic review and meta-analysis. BMC Anesthesiol. 2018;18(113). Available from: Scholar
American Society of Anesthesiologists. Standards for basic anesthetic monitoring. 2020. Available from: Scholar
Tacconi, F, Pompeo, E. Non-intubated video-assisted thoracic surgery: where does evidence stand? J Thorac Dis. 2016;8(Suppl 4):S364–75.CrossRefGoogle ScholarPubMed
Kiss, G, Castillo, M. Nonintubated anesthesia in thoracic surgery: general issues. Ann Transl Med. 2015;3(8):110.Google ScholarPubMed
Blank, RS, de Souza, DG. Anesthetic management of patients with an anterior mediastinal mass: continuing professional development. Can J Anaesth. 2011;58(9):853–9, 860–7.Google Scholar
Stricker, PA, Gurnaney, HG, Litman, RS. Anesthetic management of children with an anterior mediastinal mass. J Clin Anesth. 2010;22(3):159–63.Google Scholar
Bergman, NA. Reduction in resting end-expiratory position of the respiratory system with induction of anesthesia and neuromuscular paralysis. Anesthesiology. 1982;57(1):1417.Google Scholar
Narang, S, Harte, BH, Body, SC. Anesthesia for patients with a mediastinal mass. Anesthesiol Clin North Am. 2001;19(3):559–79.Google Scholar
Hackett, S, Jones, R, Kapila, R. Anaesthesia for pneumonectomy. BJA Educ. 2019;19(9):297304.Google Scholar
Slinger, P. Update on anesthetic management for pneumonectomy. Curr Opin Anaesthesiol. 2009;22(1):31–7.Google Scholar
Durkin, C, Schisler, T, Lohser, J. Current trends in anesthesia for esophagectomy. Curr Opin Anaesthesiol. 2017;30(1):30–5.CrossRefGoogle ScholarPubMed
Javidfar, J, Brodie, D, Iribarne, A, et al. Extracorporeal membrane oxygenation as a bridge to lung transplantation and recovery. J Thorac Cardiovasc Surg. 2012;144(3):716–21.CrossRefGoogle ScholarPubMed
Ius, F, Kuehn, C, Tudorache, I, et al. Lung transplantation on cardiopulmonary support: venoarterial extracorporeal membrane oxygenation outperformed cardiopulmonary bypass. J Thorac Cardiovasc Surg. 2012;144(6):1510–16.CrossRefGoogle ScholarPubMed
Feller-Kopman, DJ, Reddy, CB, DeCamp, MM, et al. Management of malignant pleural effusions: an official ATS/STS/STR clinical practice guideline. Am J Respir Crit Care Med. 2018;198(7):839–49.Google ScholarPubMed
Morabito, J, Bell, MT, Montenij, LJ, et al. Perioperative considerations for chylothorax. J Cardiothorac Vasc Anesth. 2017;31(6):2277–81.Google Scholar
Redden, MD, Chin, TY, van Driel, ML. Surgical versus non-surgical management for pleural empyema. Cochrane Database Syst Rev. 2017;3:CD010651.Google Scholar
Broderick, SR. Hemothorax: etiology, diagnosis, and management. Thorac Surg Clin. 2013;23(1):89–96, vi–vii.Google Scholar
He, J, Liu, J, Zhu, C, et al. Expert consensus on spontaneous ventilation video-assisted thoracoscopic surgery in primary spontaneous pneumothorax (Guangzhou). Ann Transl Med. 2019;7(20):518.CrossRefGoogle ScholarPubMed
Woolhouse, I, Maskell, NA, Introducing the new BTS guideline: the investigation and management of pleural malignant mesothelioma. Thorax. 2018;73:210–12.CrossRefGoogle ScholarPubMed
Poulin, V, Vaillancourt, R, Somma, J, Gagné, N, Bussières, JS. High frequency ventilation combined with spontaneous breathing during bronchopleural fistula repair: a case report. Can J Anaesth. 2009;56(1):52–6.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the or variations. ‘’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats