Related Experiment Video
Updated: May 16, 2026
05:39
Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Anesthesia for thoracic surgery: a survey of middle eastern practice
Abdelazeem Eldawlatly1, Ahmed Turkistani, Ben Shelley
1Department of Anesthesia, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Saudi Journal of Anaesthesia
|November 20, 2012
Summary
This survey reveals current thoracic anesthesia practices in the Middle East, highlighting the preference for double-lumen tubes during one-lung ventilation and thoracic epidural analgesia for postoperative pain management.
Area of Science:
- Anesthesiology
- Thoracic Surgery
- Critical Care Medicine
Background:
- Thoracic anesthesia practices can vary significantly across regions.
- Understanding current regional practices is crucial for standardizing care and improving patient outcomes.
Purpose of the Study:
- To describe the current practice of thoracic anesthesia in the Middle Eastern (ME) region.
- To provide a contemporary snapshot of anesthetic techniques used in thoracic surgery within the ME.
Main Methods:
- A prospective online survey was distributed to members of the ME thoracic-anaesthesia group.
- 58 participants from 19 institutions in the Middle East completed the survey.
- The survey covered ventilation strategies, anesthesia regimens, postoperative analgesia, lung isolation, and fluid management.
Main Results:
- Volume-controlled ventilation was preferred over pressure-controlled ventilation (62% vs 38%).
- All respondents use double-lumen tubes (DLT) for one-lung ventilation (OLV); 31.1% never use bronchial blockers (BB).
- Thoracic epidural analgesia is favored for postoperative pain relief (61.8%).
Conclusions:
- The survey offers a current overview of thoracic anesthetic practices in the Middle East.
- Findings indicate specific preferences in ventilation, airway management, and analgesia within the region.
Related Concept Videos
01:24General Anesthesia: Overview
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
01:26Endoscopic Studies II: Thoracocentesis
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
01:20Inhalational Anesthetics: Overview
Inhalation anesthetics are drugs that induce general anesthesia upon inhalation. They work by increasing the sensitivity of GABAA receptors or inhibiting NMDA receptors, leading to a decrease in central nervous system activity. The depth of anesthesia can be rapidly adjusted by changing the concentration of the inhaled gas. Some common examples of inhalational anesthetics include volatile liquids like isoflurane, desflurane, sevoflurane and gases like xenon and nitrous oxide. Isoflurane, a...
01:11Local Anesthetics: Clinical Application as Spinal Anesthesia
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
01:22Stages of General Anesthesia
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
01:29Local Anesthetics: Clinical Application as Epidural Anesthesia
Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...