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The Year in Thoracic Anesthesia: Selected Highlights from 2019
Michael L Boisen1, Travis Schisler2, Lavinia Kolarczyk3
1Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, PA.
Journal of Cardiothoracic and Vascular Anesthesia
|May 21, 2020
Summary
This review highlights key 2019 advancements in thoracic anesthesia, covering preoperative optimization, ventilation strategies, regional anesthesia, minimally invasive surgery, and enhanced recovery protocols for lung and esophageal procedures.
Area of Science:
- Anesthesiology
- Thoracic Surgery
- Critical Care Medicine
Background:
- The Journal of Cardiothoracic and Vascular Anesthesia's annual series reviews significant research.
- Thoracic anesthesia is a rapidly evolving specialty with critical implications for patient outcomes.
Purpose of the Study:
- To summarize major research highlights in thoracic anesthesia for 2019.
- To provide an update on key developments in patient management and surgical techniques.
Main Methods:
- Review of the latest scientific literature and meta-analyses published in 2019.
- Focus on updates in preoperative assessment, intraoperative management, and postoperative care.
Main Results:
- Key updates include preoperative optimization for lung resection and esophagectomy.
- New insights into one lung ventilation (OLV) and protective strategies during OLV.
- Comparative analyses of regional anesthesia techniques and nonintubated video-assisted thoracoscopic surgery (VATS).
- Review of Society of Thoracic Surgeons (STS) ratings and Enhanced Recovery After Surgery (ERAS) guidelines.
Conclusions:
- Significant advancements were made in 2019 across various domains of thoracic anesthesia.
- These updates aim to improve patient safety, optimize surgical outcomes, and enhance recovery.
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