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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
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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.
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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
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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...
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Related Experiment Video

Updated: Jul 14, 2025

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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The Year in Thoracic Anesthesia: Selected Highlights from 2022.

Konstantinos Alfaras-Melainis1, Rohesh J Fernando2, Michael L Boisen1

  • 1Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, PA.

Journal of Cardiothoracic and Vascular Anesthesia
|October 6, 2023
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This review covers key advances in thoracic anesthesia, focusing on patient preparation, one-lung ventilation (OLV) techniques, and enhanced recovery after surgery. It also highlights new approaches for airway surgery and non-intubated thoracic procedures.

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Area of Science:

  • Anesthesiology
  • Thoracic Surgery
  • Critical Care Medicine

Background:

  • Thoracic anesthesia is a complex subspecialty requiring continuous innovation.
  • Patient outcomes in thoracic surgery are significantly influenced by anesthetic management.
  • Advances in surgical techniques necessitate corresponding anesthetic developments.

Conclusions:

  • The field of thoracic anesthesia is rapidly evolving with significant advancements in patient care and techniques.
  • Multimodal approaches, including prehabilitation, protective ventilation, and regional anesthesia, are improving outcomes.
  • Innovative anesthetic strategies are expanding the possibilities for complex thoracic surgeries, including airway procedures and minimally invasive non-intubated surgeries.