Anaesthesia for Lung Volume Reduction Surgery in Bilateral Bullous Lung Disease: A Case Report
Lung Volume Reduction Surgery (LVRS) has become an accepted modality for chronic pulmonary emphy-sema. Bilateral involve excision of emphysematous alveoli, which results in a 20% to 30% reduction in the volume of each lung. The goal of LVRS is to improve the respiratory mechanics in severe emphysema...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2008-01-01
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| Series: | Indian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2008;volume=52;issue=5;spage=584;epage=584;aulast=Sahajanandan |
| _version_ | 1819002642899140608 |
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| author | Raj Sahajanandan Georgene Singh Manickam Ponniah |
| author_facet | Raj Sahajanandan Georgene Singh Manickam Ponniah |
| author_sort | Raj Sahajanandan |
| collection | DOAJ |
| description | Lung Volume Reduction Surgery (LVRS) has become an accepted modality for chronic pulmonary emphy-sema. Bilateral involve excision of emphysematous alveoli, which results in a 20% to 30% reduction in the volume of each lung. The goal of LVRS is to improve the respiratory mechanics in severe emphysema by re-expanding func-tional lung tissue that has been compressed by over-distended emphysematous alveoli, thus restoring diaphragmatic mobility and improving the bellows function of the chest wall structures. Anaesthesia for LVRS is a significant challenge to the anaesthetist as a result of high risk patient population and the nature of surgery. Management requires good understanding of the pathophysiology of the disease and surgical procedure. Close co-ordination be-tween the anaesthetist, surgeon and other support staff are of paramount importance. |
| first_indexed | 2024-12-20T23:08:21Z |
| format | Article |
| id | doaj.art-c4b76cb046a345dea81651b09a1182ac |
| institution | Directory Open Access Journal |
| issn | 0019-5049 |
| language | English |
| last_indexed | 2024-12-20T23:08:21Z |
| publishDate | 2008-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Anaesthesia |
| spelling | doaj.art-c4b76cb046a345dea81651b09a1182ac2022-12-21T19:23:49ZengWolters Kluwer Medknow PublicationsIndian Journal of Anaesthesia0019-50492008-01-01525584584Anaesthesia for Lung Volume Reduction Surgery in Bilateral Bullous Lung Disease: A Case ReportRaj SahajanandanGeorgene SinghManickam PonniahLung Volume Reduction Surgery (LVRS) has become an accepted modality for chronic pulmonary emphy-sema. Bilateral involve excision of emphysematous alveoli, which results in a 20% to 30% reduction in the volume of each lung. The goal of LVRS is to improve the respiratory mechanics in severe emphysema by re-expanding func-tional lung tissue that has been compressed by over-distended emphysematous alveoli, thus restoring diaphragmatic mobility and improving the bellows function of the chest wall structures. Anaesthesia for LVRS is a significant challenge to the anaesthetist as a result of high risk patient population and the nature of surgery. Management requires good understanding of the pathophysiology of the disease and surgical procedure. Close co-ordination be-tween the anaesthetist, surgeon and other support staff are of paramount importance.http://www.ijaweb.org/article.asp?issn=0019-5049;year=2008;volume=52;issue=5;spage=584;epage=584;aulast=SahajanandanLung Volume Reduction SurgeryBullous emphysemaOne lung ventilationInter costal drain |
| spellingShingle | Raj Sahajanandan Georgene Singh Manickam Ponniah Anaesthesia for Lung Volume Reduction Surgery in Bilateral Bullous Lung Disease: A Case Report Indian Journal of Anaesthesia Lung Volume Reduction Surgery Bullous emphysema One lung ventilation Inter costal drain |
| title | Anaesthesia for Lung Volume Reduction Surgery in Bilateral Bullous Lung Disease: A Case Report |
| title_full | Anaesthesia for Lung Volume Reduction Surgery in Bilateral Bullous Lung Disease: A Case Report |
| title_fullStr | Anaesthesia for Lung Volume Reduction Surgery in Bilateral Bullous Lung Disease: A Case Report |
| title_full_unstemmed | Anaesthesia for Lung Volume Reduction Surgery in Bilateral Bullous Lung Disease: A Case Report |
| title_short | Anaesthesia for Lung Volume Reduction Surgery in Bilateral Bullous Lung Disease: A Case Report |
| title_sort | anaesthesia for lung volume reduction surgery in bilateral bullous lung disease a case report |
| topic | Lung Volume Reduction Surgery Bullous emphysema One lung ventilation Inter costal drain |
| url | http://www.ijaweb.org/article.asp?issn=0019-5049;year=2008;volume=52;issue=5;spage=584;epage=584;aulast=Sahajanandan |
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