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Anästhesiol Intensivmed Notfallmed Schmerzther 2004; 39(10): 616-650
DOI: 10.1055/s-2004-825978
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© Georg Thieme Verlag KG Stuttgart · New York

Anästhesie in der Thoraxchirurgie

Anesthesia in Thoracic SurgeryK.  Wiedemann1 , C.  Männle1 , M.  Layer1 , F.  Herth2
  • 1Abteilung für Anästhesiologie und Intensivmedizin, Thoraxklinik am Universitätsklinikum Heidelberg
  • 2Abteilung Innere Medizin/Pneumologie, Thoraxklinik am Universitätsklinikum Heidelberg
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Publikationsverlauf

Publikationsdatum:
15. Oktober 2004 (online)

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    Lizenzen und Reprints

Weiterbildungsziele In diesem Beitrag sollen folgende Weiterbildungsziele vermittelt werden: Abschätzung der postoperativen Funktionseinschränkung bei Lungenparenchymresektion und Beurteilung der funktionellen Operabilität Bedeutung von Rauchkarenz sowie pulmonaler und kardialer Funktionsverbesserung für die Verhütung postoperativer Komplikationen Auswahl und Einsatz der Instrumente zur Seitentrennung der Atemwege: Doppellumen-Tubus, Univent®-Tubus, Bronchusblocker Überwachung von Einführung und Lage der Instrumente zur Seitentrennung der Atemwege Pathophysiologie der Einlungenventilation: Wertung von Einflussfaktoren für die Oxygenierung Verfahren zur Sicherung der Oxygenierung während Einlungenventilation Beatmungsverfahren in der Tracheobronchialchirurgie Wandel von Überwachung der Vorhofdrucke zur Messung des intrathorakalen Blutvolumens zur Abschätzung der kardialen Vorlast Analgesie nach Thoraxeingriffen

Literatur

  • 1 Stephan F, Boucheseiche S, Hollande J, Flahault A, Cheffi A, Bazelly B, Bonnet F. Pulmonary complications following lung resection. A comprehensive analysis of incidence and possible risk factors.  Chest. 2000;  118 1263-1270
    CrossrefPubMedGoogle Scholar
  • 2 De Decker K, Jorens P G, van Shil P. Cardiac complications after noncardiac thoracic surgery: an evidence-based current review.  Ann Thorac Surg. 2003;  75 1340-1348
    CrossrefPubMedGoogle Scholar
  • 3 Bolliger C T, Perruchoud A P. Functional evaluation of the lung resection candidate.  Eur Respir J. 1998;  11 198-212
    CrossrefPubMedGoogle Scholar
  • 4 Slinger P D, Johnston M R. Preoperative assessment for pulmonary resection.  J Cardiothorac Vasc Anesth. 2000;  14 202-211
    CrossrefPubMedGoogle Scholar
  • 5 Brunelli A, Monteverde M, Al Refai M, Fiancini A. Stair climbing test predicts cardiopulmonary complications after pulmonary lobectomy in the elderly.  Ann Thorac Surg. 2004;  77 266-270
    CrossrefPubMedGoogle Scholar
  • 6 Markos J, Mullan B P, Hillman D R, Musk A W, Antico V F, Lovegrove F T, Carter M J, Finucane K E. Preoperative assessment as predictor of mortality and morbidity after lung resection.  Am Rev Respir Dis. 1989;  139 902-910
    CrossrefPubMedGoogle Scholar
  • 7 Schuurmans M M, Diacon A, Bolliger C T. Functional evaluation before lung resection.  Clin Chest Medicine. 2002;  23 (1) 159-172
    PubMedGoogle Scholar
  • 8 Cerfolio R, Allen M, Trastek V, Deschamps C, Scanlon P D, Pairolero P C. Lung resection in patients with compromised pulmonary function.  Ann Thorac Surg. 1996;  62 348-351
    CrossrefPubMedGoogle Scholar
  • 9 Wyser C, Stulz P, Soler M, Tamm M, Müller-Brand J, Habicht J, Perruchoud A P, Bolliger C T. Prospective evaluation of an algorithm for the functional assessment of lung resection candidates.  Am J Respir Crit Care Med. 1999;  159 1450-1456
    CrossrefPubMedGoogle Scholar
  • 10 Cohen E. Surgical treatment of end-stage emphysema: current status?.  Curr Opin Anaesthesiol. 2003;  16 53-57
    CrossrefPubMedGoogle Scholar
  • 11 Eagle A K. et al . ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery - executive summary.  Circulation. 2002;  105 1257-1267
    PubMedGoogle Scholar
  • 12 Rao V, Todd T RS, Weisel R D, Komeda M, Cohen G, Ikonomidis J S, Christakis G T. Results of combined pulmonary resection and cardiac operation.  Ann Thorac Surg. 1996;  62 342-347
    CrossrefPubMedGoogle Scholar
  • 13 Walsh G L, Morice R C, Putnam J B, Nesbitt J C, McMurtrey M J, Ryan M B, Reising J M, Willis K M, Morton J D, Roth J A. Resection of lung cancer is justified in highrisk patients selected by exercise oxygen consumption.  Ann Thorac Surg. 1994;  58 704-710
    CrossrefPubMedGoogle Scholar
  • 14 Zwissler B. Das akute Rechtsherzversagen: Ätiologie - Pathophysiologie - Diagnostik - Therapie.  Anaesthesist. 2000;  49 788-808
    CrossrefPubMedGoogle Scholar
  • 15 Kowalewski J, Brocki M, Dryanski T, Kapron K, Barcikowski S. Right ventricular morphology and function after pulmonary resection.  Eur J Cardiothorac Surg. 1999;  15 444-448
    CrossrefPubMedGoogle Scholar
  • 16 Reed C E, Spinale F G, Crawford F A. Effect of pulmonary resection on right ventricular function.  Ann Thorac Surg. 1992;  53 578-582
    PubMedGoogle Scholar
  • 17 Sitbon O, Humbert M, Jagot J L, Taravella M, Fartoukh M, Parent F, Herve P, Simonneau G. Inhaled nitric oxide as a screening agent for safely identifying responders to oral calcium channel blockers in primary pulmonary hypertension.  Eur Respir J. 1998;  12 265-270
    PubMedGoogle Scholar
  • 18 Olschewski H, Simonneau G, Galié N. et al . Inhaled iloprost for severe pulmonary hypertension.  N Engl J Med. 2002;  347 322-329
    CrossrefPubMedGoogle Scholar
  • 19 Leuchte H H, Schwaiblmair M, Baumgartner R A, Neurohr C F, Kolbe T, Behr J. Hemodynamic response to sildenafil, nitric oxide and iloprost in primary pulmonary hypertension.  Chest. 2004;  125 580-586
    CrossrefPubMedGoogle Scholar
  • 20 Akrawi W, Benumof J L. A pathophysiological basis for informed preoperative smoking cessation counseling.  J Cardiothorac Vasc Anesth. 1997;  11 629-640
    CrossrefPubMedGoogle Scholar
  • 21 Warner M A, Offord K P, Warner M E, Lennon R L, Conover M A, Jansson-Schumacher U. Role of preoperative cessation of smoking and other factors in postoperative pulmonary complications: a blinded prospective study of coronary artery bypass patients.  Mayo Clin Proc. 1989;  64 609-616
    CrossrefPubMedGoogle Scholar
  • 22 Nakagawa M, Tanaka H, Tsukuma H, Kishi Y. Relationship between the duration of the preoperative smoke-free period and the incidence of postoperative pulmonary complications after pulmonary surgery.  Chest. 2001;  120 705-710
    CrossrefPubMedGoogle Scholar
  • 23 Haustein K O. Pharmacotherapy of nicotine dependence.  Int J Clin Pharmac Therap. 2000;  38 273-290
    PubMedGoogle Scholar
  • 24 Møller A M, Villebro N, Pedersen T, Tønnesen H. Effects of preoperative smoking intervention on postoperative complications: a randomised clinical trial.  Lancet. 2002;  359 114-117
    CrossrefPubMedGoogle Scholar
  • 25 Ho A MH, Ling E. Systemic air embolism after lung trauma.  Anesthesiology. 1999;  90 564-575
    PubMedGoogle Scholar
  • 26 Fitzmaurice B G, Brodsky J B. Airway rupture from double-lumen tubes.  J Cardiothorac Vasc Anesth. 1999;  13 322-329
    CrossrefPubMedGoogle Scholar
  • 27 Brodsky J B, Macario A, Mark J BD. Tracheal diameter predicts double-lumen tube size: a method for selecting left double-lumen tubes.  Anesth Analg. 1996;  82 861-864
    PubMedGoogle Scholar
  • 28 Brodsky J B, Mackey S, Cannon W B. Selecting the correct size double lumen tube.  J Cardiothorac Vasc Anesth. 1997;  11 924-925
    CrossrefPubMedGoogle Scholar
  • 29 Seymour A H. The relationship between the diameters for the adult cricoid ring and main tracheobronchial tree: a cadaver study to investigate the basis for double-lumen tube selection.  J Cardiothorac Vasc Anesth. 2003;  17 299-301
    CrossrefPubMedGoogle Scholar
  • 30 Campos J H, Gomez M N. Pro: Right-sided double-lumen endotracheal tubes should be routinely used in thoracic surgery.  J Cardiothorac Vasc Anesth. 2002;  16 246-248
    CrossrefPubMedGoogle Scholar
  • 31 Inoue H, Shohtsu A, Ogawa J, Kawada S, Koide S. New device for one-lung anesthesia: endotracheal tube with movable blocker.  J Thorac Cardiovasc Surg. 1982;  83 940-941
    PubMedGoogle Scholar
  • 32 Benumof J L, Gaughan S, Ozaki G T. Operative lung constant positive airway pressure with the Univent bronchial blocker tube.  Anesth Analg. 1992;  74 406-410
    PubMedGoogle Scholar
  • 33 Campos J H, Reasoner D K, Moyers J R. Comparison of a modified double-lumen endotracheal tube with a single-lumen tube with enclosed bronchial blocker.  Anesth Analg. 1996;  83 1268-1272
    PubMedGoogle Scholar
  • 34 Arndt G A, DeLessio S T, Kranner P W, Orzepowski W, Ceranski B, Valtysson B. One-lung ventilation when intubation is difficult: presentation of a new endobronchial blocker.  Acta Anaesthesiol Scand. 1999;  43 356-358
    CrossrefPubMedGoogle Scholar
  • 35 Parker A B, Hoehner P J, Kloth R L, Kron I L, Baum V C. Preliminary experience with an endobronchial blocker designed for young children.  J Cardiothorac Vasc Anesth. 2003;  17 79-81
    CrossrefPubMedGoogle Scholar
  • 36 Hammer G B. Pediatric thoracic anesthesia.  Anesth Analg. 2001;  92 1449-1464
    PubMedGoogle Scholar
  • 37 Benumof J L. Laryngeal mask airway and the ASA difficult airway algorithm.  Anesthesiology. 1996;  84 689-699
    PubMedGoogle Scholar
  • 38 Cohen E, Benumof J L. Lung separation in the patient with a difficult airway.  Curr Opin Anaesthesiol. 1999;  12 29-35
    CrossrefPubMedGoogle Scholar
  • 39 Schottke-Hennings H, Klippe H J, Schmieding B. Die Fiberbronchoskopie als Hilfsmittel zur Plazierung und Überwachung von Doppellumentuben in der Thoraxanästhesie.  Anästh Intensivther Notfallmed. 1989;  24 327-333
    PubMedGoogle Scholar
  • 40 Alliaume B, Coddens J, Deloof T. Reliability of auscultation in positioning of double-lumen endobronchial tubes.  Can J Anaesth. 1992;  39 687-690
    PubMedGoogle Scholar
  • 41 Klein U, Karzai W, Bloos F, Wohlfarth M, Gottschall R, Fritz H, Gugel M, Seifert A. Role of fiberoptic bronchoscopy in conjunction with the use of double-lumen tubes for thoracic anesthesia.  Anesthesiology. 1998;  88 346-350
    CrossrefPubMedGoogle Scholar
  • 42 Kaplan J A, Slinger P D (eds). Thoracic Anesthesia, Third Edition. Philadelphia; Churchill Livingstone 2003
    Google Scholar
  • 43 Brodsky J B, Lemmens H JM. Left double-lumen tubes: clinical experience with 1.170 patients.  J Cardiothorac Vasc Anesth. 2003;  17 289-298
    CrossrefPubMedGoogle Scholar
  • 44 Bahk J H, Lim Y J, Kim C S. Positioning of a double-lumen endobronchial tube without the aid of any instrument: An implication for emergency management.  J Trauma. 2000;  49 899-902
    PubMedGoogle Scholar
  • 45 Shankar K B, Moseley H S, Kumar A Y. Dual end-tidal CO2 monitoring and double lumen tubes.  Can J Anaesth. 1992;  39 100
    PubMedGoogle Scholar
  • 46 Klein U, Gugel M. Monitoring bei thoraxchirurgischen Eingriffen.  Anästhesiol Intensivmed Notfallmed Schmerzther. 1998;  33 115
    PubMedGoogle Scholar
  • 47 Bardoczky G I, Levarlet M, Engelman E, de Franquen P. Continuous spirometry for detection of double lumen endobronchial tube displacement.  Br J Anaesth. 1993;  70 499-502
    PubMedGoogle Scholar
  • 48 Schweizer A, de Perrot M, Hohn L, Spiliopoulos A, Licker M. Massive contralateral pneumonia following thoracotomy for lung resection.  J Clin Anesth. 1998;  10 678-680
    CrossrefPubMedGoogle Scholar
  • 49 Rothen U, Sporre B, Engberg G, Wegenius G, Hedenstierna F. Airway closure, atelectasis and gas exchange during general anaesthesia.  Br J Anaesth. 1998;  81 681-686
    CrossrefPubMedGoogle Scholar
  • 50 Triantafillou A N, Benumof J L, Lecamwasam H S. Physiology of the lateral decubitus position, the open chest and one-lung ventilation. In: Kaplan JE, Slinger PD (eds) Thoracic Anesthesia 3rd ed. Philadelphia; Churchill Livingstone 2003: 71-94
    Google Scholar
  • 51 Morrell N W, Nijran K S, Biggs T, Seed W A. Magnitude and time course of acute hypoxic pulmonary vasoconstriction in man.  Respir Physiol. 1995;  100 271-281
    CrossrefPubMedGoogle Scholar
  • 52 Malmkvist G, Fletcher R, Nordström L, Werner O. Effects of lung surgery and one-lung ventilation on pulmonary arterial pressure, venous admixture and immediate postoperative lung function.  Br J Anaesth. 1989;  63 696-701
    PubMedGoogle Scholar
  • 53 Lewis J W, Serwin J P, Gabriel F S, Bastanfar M, Jacobsen G. The utility of a double lumen tube for one-lung ventilation in a variety of non-cardiac thoracic surgical procedures.  J Cardiothorac Anesth. 1992;  6 705-710
    CrossrefPubMedGoogle Scholar
  • 54 Domino K B. Anesthetic modulation of pulmonary vascular tone. In: Yaksh TL et al. (eds) Anesthesia: Biologic Foundations. Philadelphia; Lippincott-Raven 1997: 1319-1347
    Google Scholar
  • 55 Loehr S A, Scheeren T WL, Tarnow J. Desflurane inhibits hypoxic pulmonary vasoconstriction in isolated rabbit lungs.  Anesthesiology. 1995;  83 552-556
    PubMedGoogle Scholar
  • 56 Schwarzkopf K, Schreiber T, Preussler N P, Gaser E, Hüter L, Bauer R, Schubert H, Karzai W. Lung perfusion, shunt fraction and oxygenation during one-lung ventilation in pigs: the effects of desflurane, isoflurane and propofol.  J Cardiothorac Vasc Anesth. 2003;  17 73-75
    CrossrefPubMedGoogle Scholar
  • 57 Boldt J, Müller M, Uphus D, Padberg W, Hempelmann G. Cardiorespiratory changes in patients undergoing pulmonary resection using different anesthetic management techniques.  J Cardiothorac Vasc Anesth. 1996;  10 854-859
    PubMedGoogle Scholar
  • 58 Sykes M K, Hurtig J B, Tait A R, Chakrabarti M. Reduction of hypoxic pulmonary vasoconstriction in the dog during administration of nitrous oxide.  Br J Anaesth. 1977;  49 301-306
    PubMedGoogle Scholar
  • 59 v. Dossow V, Welte M, Zaune U, Martin E, Walter M, Rückert J, Kox W J, Spies C. Thoracic epidural anesthesia combined with general anesthesia: the preferred anesthetic technique for thoracic surgery.  Anesth Analg. 2001;  92 848-854
    PubMedGoogle Scholar
  • 60 Conacher I D. 2000 - Time to apply Occam’s razor to failure of hypoxic pulmonary vasoconstriction during one lung ventilation.  Br J Anaesth. 2000;  84 434-436
    PubMedGoogle Scholar
  • 61 Beck D H, Doepfmer U R, Sinemus C, Bloch A, Schenk M R, Kox W J. Effects of sevoflurane and propofol on pulmonary shunt fraction during one-lung ventilation for thoracic surgery.  Br J Anaesth. 2001;  86 38-43
    CrossrefPubMedGoogle Scholar
  • 62 Ishibe Y, Shiokawa Y, Umeda T, Uno H, Nakamura M, Izumi T. The effect of thoracic epidural anesthesia on hypoxic pulmonary vasoconstriction in dogs: an analysis of the pressure-flow curve.  Anesth Analg. 1996;  82 1049-1055
    PubMedGoogle Scholar
  • 63 Hachenberg T, Holst D, Ebel C, Pfeiffer B, Thomas H, Wendt M, Hedenstierna G. Effects of thoracic epidural anaesthesia on ventilation-perfusion distribution and intrathoracic blood volume before and after induction of general anaesthesia.  Acta Anaesthesiol Scand. 1997;  41 1142-1148
    PubMedGoogle Scholar
  • 64 Grover R F. The fascination of the hypoxic lung.  Anesthesiology. 1985;  63 580-582
    PubMedGoogle Scholar
  • 65 Katz Y, Zisman E, Isserles S, Rozenberg B. Left, but not right, one-lung ventilation causes hypoxemia during endoscopic transthoracic sympathectomy.  J Cardiothorac Vasc Anesth. 1996;  10 207-209
    PubMedGoogle Scholar
  • 66 Ribas J, Jimenez M J, Barbera J A, Roca J, Gomar C, Canalis E, Rodriguez-Roisin R. Gas exchange and pulmonary hemodynamics during lung resection in patients at increased risk: relationship with preoperative exercise testing.  Chest. 2001;  120 852-859
    CrossrefPubMedGoogle Scholar
  • 67 Hurford W E, Kolker A C, Strauss H W. The use of ventilation/perfusion lung scans to predict oxygenation during one-lung anesthesia.  Anesthesiology. 1987;  67 841-844
    PubMedGoogle Scholar
  • 68 Slinger P, Suissa S, Triolet W. Predicting arterial oxygenation during one-lung anaesthesia.  Can J Anaesth. 1992;  39 1030-1035
    PubMedGoogle Scholar
  • 69 Bardoczky G I, Szegedi L L, d'Hollander A A, Moures J M, de Franquen P, Yernault J C. Two-lung and one-lung ventilation in patients with chronic obstructive pulmonary disease: the effects of position and FiO2.  Anesth Analg. 2000;  90 35-41
    PubMedGoogle Scholar
  • 70 Watanabe S, Noguchi E, Yamada S, Hamada N, Kano T. Sequential changes of arterial oxygen tension in the supine position during one-lung ventilation.  Anesth Analg. 2000;  90 28-34
    PubMedGoogle Scholar
  • 71 Kerr J, Smith A C, Prys-Roberts C, Meloche R. Observation during endobronchial anaesthesia. I. Ventilation and carbon dioxide clearance.  Br J Anaesth. 1973;  45 159-167
    PubMedGoogle Scholar
  • 72 Hatch D. Ventilation and arterial oxygenation during thoracic surgery.  Thorax. 1966;  21 310-315
    PubMedGoogle Scholar
  • 73 Zollinger A, Zaugg M, Wecker W, Russi E W, Blumenthal S, Zalunardo M P, Stoehr S, Thurnheer R, Stammberger U, Spahn D R. Video-assisted thoracoscopic volume reduction surgery in patients with diffuse pulmonary emphysema: gas exchange and anesthesiological management.  Anesth Analg. 1997;  84 845-851
    PubMedGoogle Scholar
  • 74 Heerdt P M. Post-thoracotomy cardiovascular adaptations and complications. In: Kaplan JE, Slinger PD (eds) Thoracic Anesthesia 3rd ed. Philadelphia; Churchill Livingstone 2003: 423-435
    Google Scholar
  • 75 Zwißler B. Anästhesie bei Erkrankungen von Herz und Kreislauf. In: Rossaint R, Werner C, Zwißler B (Hrsg.) Die Anästhesiologie. Berlin; Springer 2004: 1219-1288
    Google Scholar
  • 76 Haché M, Dessault A, Belisle S, Robitaille D, Couture P, Sheridan P, Pellerin M, Babin D, Noel N, Guertin M C, Martineau R, Dupuis J. Inhaled epoprostenol (prostacyclin) and pulmonary hypertension before cardiac surgery.  J Thorac Cardiovasc Surg. 2003;  125 642-649
    CrossrefPubMedGoogle Scholar
  • 77 Della Rocca G, Coccia C, Pompei L, Ruberto F, Venuta F, De Giacomo T, Pietropaoli P. Hemodynamic and oxygenation changes of combined therapy with inhaled nitric oxide and inhaled aerosolized prostacyclin.  J Cardiothorac Vasc Anesth. 2001;  15 244-227
    PubMedGoogle Scholar
  • 78 Cardinale D, Martinoni A, Cipolla C M, Civelli M, Lamantia G, Fiorentini C, Mezzetti M. Atrial fibrillation after operation for lung cancer: clinical and prognostic significance.  Ann Thorac Surg. 1999;  68 1827-1831
    CrossrefPubMedGoogle Scholar
  • 79 Scherer R W, Vigfusson G, Hultsch E, Van Aken H, Lawin P. Prostaglandin F2α improves oxygen tension and reduces venous admixture during one-lung ventilation in anesthetized paralyzed dogs.  Anesthesiology. 1985;  62 23-28
    PubMedGoogle Scholar
  • 80 Chen T L, Ueng T H, Huang C H, Chen C L, Huang F Y, Lin C J. Improvement of arterial oxygenation by selective infusion of prostaglandin E1, to ventilated lung during one-lung ventilation.  Acta Anaesthesiol Scand. 1996;  40 7-13
    PubMedGoogle Scholar
  • 81 Chen T L, Lee T Y, Wang M J, Lee J M, Lee Y C, Chu S H. Endothelin-1 concentrations and optimisation of arterial oxygenation and venous admixture by selective pulmonary artery infusion of prostaglandin E1 during thoracotomy.  Anaesthesia. 1996;  51 422-426
    PubMedGoogle Scholar
  • 82 Hedenstierna G, Reber A. Manipulating pulmonary blood flow during one-lung anaesthesia.  Acta Anaesthesiol Scand. 1996;  40 2-4
    PubMedGoogle Scholar
  • 83 Moutafis M, Liu N, Dalibon N, Kuhlman G, Fischler M. The effects of intravenous almitrine on oxygenation and hemodynamics during one-lung ventilation.  Anesth Analg. 2002;  94 830-834
    PubMedGoogle Scholar
  • 84 Dalibon N, Moutafis M, Lin N, Law-Koune J D, Monsel S, Fischler M. Treatment of hypoxemia during one-lung ventilation using intravenous almitrine.  Anesth Analg. 2004;  98 590-594
    PubMedGoogle Scholar
  • 85 B’chir A, Mebazaa A, Losser M R, Romieu M, Payen D. Intravenous almitrine bismesylate reversibly induces lactic acidosis and hepatic dysfunction in patients with acute lung injury.  Anesthesiology. 1998;  89 823-830
    CrossrefPubMedGoogle Scholar
  • 86 Capan L M, Turndorf H, Patel C, Ramanathan S, Acinapura A, Chalon J. Optimization of arterial oxygenation during one-lung anesthesia.  Anesth Analg. 1980;  59 847-851
    PubMedGoogle Scholar
  • 87 Hughes S A, Benumof J L. Operative lung continuous airway pressure to minimize FiO2 during one lung ventilation.  Anesth Analg. 1990;  71 92-95
    PubMedGoogle Scholar
  • 88 Barker S J, Clarke C, Trivedi N, Hyatt J, Fynes M, Rössler P. Anesthesia for thorcoscopic laser ablation of bullous emphysema.  Anesthesiology. 1993;  78 44-50
    PubMedGoogle Scholar
  • 89 Knüttgen D, Zeidler D, Vorweg M, Doehn M. Einseitige High Frequency Jet Ventilation als Ergänzung der Einlungenbeatmung bei thoraxchirurgischen Eingriffen.  Anaesthesist. 2001;  50 585-589
    CrossrefPubMedGoogle Scholar
  • 90 Brock H, Rieger R, Gabriel C, Pölz W, Moosbauer W, Necek S. Haemodynamic changes during thoracoscopic surgery. The effects of one-lung ventilation compared with carbon dioxide insufflation.  Anaesthesia. 2000;  55 10-16
    CrossrefPubMedGoogle Scholar
  • 91 Joyce C J, Barker A B, Kennedy R R. Gas uptake from an unventilated area of lung: computer model of absorption atelectasis.  J Appl Physiol. 1993;  74 1107-1116
    PubMedGoogle Scholar
  • 92 Pfitzner J, Peacock M J, Daniels B W. Ambient pressure oxygen reservoir apparatus for use during one-lung anaesthesia.  Anaesthesia. 1999;  54 454-458
    CrossrefPubMedGoogle Scholar
  • 93 Weiler N, Eberle B, Heinrichs W. Adaptive lung ventilation (ALV) during anesthesia for pulmonary surgery: automatic response to transitions to and from one-lung ventilation.  J Clin Monit. 1998;  14 245-252
    PubMedGoogle Scholar
  • 94 Slinger P, Hickey D R. The interaction between PEEP and auto-PEEP during one-lung ventilation.  J Cardiothorac Vasc Anesth. 1999;  12 142-144
    PubMedGoogle Scholar
  • 95 Stühmeier K D, Mainzer B, Lipfert P, Torsello G. Ipsilateraler Pneumothorax bei Ein-Lungen-Beatmung.  Anaesthesist. 1997;  46 43-45
    CrossrefPubMedGoogle Scholar
  • 96 Tugrul M, Camci H, Karadeniz H, Sentürk M, Pembeci K, Akpir K. Comparison of volume controlled with pressure controlled ventilation during one-lung anaesthesia.  Br J Anaesth. 1997;  79 306-310
    PubMedGoogle Scholar
  • 97 Sticher J, Müller M, Scholz S, Schindler E, Hempelmann G. Controlled hypercapnia during one-lung ventilation in patients undergoing pulmonary resection.  Acta anaesthesiol scand. 2001;  45 842-847
    CrossrefPubMedGoogle Scholar
  • 98 Slinger P D, Kruger M, McRae K, Winton T. Relation of the static compliance curve and positive end-exspiratory pressure to oxygenation during one-lung ventilation.  Anesthesiology. 2001;  95 1096-1102
    CrossrefPubMedGoogle Scholar
  • 99 Inomata S, Nishikawa T, Saito S, Kihara S. ”Best” PEEP during one-lung ventilation.  Br J Anaesth. 1997;  78 754-756
    CrossrefPubMedGoogle Scholar
  • 100 Biro P, Wiedemann K. Jetventilation und Anästhesie für diagnostische und therapeutische Eingriffe an den Atemwegen.  Anaesthesist. 1999;  48 669-685
    CrossrefPubMedGoogle Scholar
  • 101 Jones M J, Mottram S D, Lin E S, Smith G. Measurement of entrainment ratio during high frequency jet ventilation.  Br J Anaesth. 1990;  65 197-203
    PubMedGoogle Scholar
  • 102 Männle C, Herth F J, Becker H D, Wiedemann K. Controlling of high frequency jet ventilation (HFJV) by measurement of the transcutaneous carbon dioxide tension (tcpCO2) during rigid bronchoscopy.  Chest. 2003;  124 125
    CrossrefPubMedGoogle Scholar
  • 103 Adelsmayr E, Keller C, Erd G, Brimacombe J. The laryngeal mask and high frequency jet ventilation for resection of high tracheal stenosis.  Anesth Analg. 1998;  86 907-908
    PubMedGoogle Scholar
  • 104 Della Rocca G, Costa M G. Preload indexes in thoracic anesthesia.  Curr Opin Anaesth. 2003;  16 69-73
    PubMedGoogle Scholar
  • 105 Morewood G H, Gallagher M E, Gaughan J P, Conlay L A. Current practice patterns for adult perioperative transesophageal echocardiography in the United States.  Anesthesiology. 2001;  95 1507-1512
    PubMedGoogle Scholar
  • 106 Brock H, Gabriel C, Bibl D, Necek S. Monitoring intravascular volumes for postoperative volume therapy.  Eur J Anaesthesiol. 2002;  19 288-294
    PubMedGoogle Scholar
  • 107 Buhre W, Buhre K, Kazmaier S, Sonntag H, Weyland A. Assessment of cardiac preload by indicator dilution and transesophageal echocardiography.  Eur J Anaesthesiol. 2001;  18 662-667
    CrossrefPubMedGoogle Scholar
  • 108 Della Rocca G, Costa G M, Coccia C, Pompei L, Di Marco P, Pietropaoli P. Preload index: pulmonary artery occlusion pressure versus intrathoracic blood volume monitoring during lung transplantation.  Anesth Analg. 2002;  95 835-843
    PubMedGoogle Scholar
  • 109 Wiedemann K, Klein U. Besonderheiten der Atemwegssicherung in der Thoraxchirurgie. In: Krier C, Georgi R (Hrsg.) Airway Management. Stuttgart; Thieme 2001: 348-361
    Google Scholar
  • 110 Slinger P. Post-pneumonectomy pulmonary edema: is anesthesia to blame?.  Curr Opin Anesth. 1999;  12 49-54
    PubMedGoogle Scholar
  • 111 Moeller A, Pedersen T, Svendsen P E, Engquist A. Perioperative risk factors in elective pneumonectomy.  Eur J Anaesthesiol. 2002;  19 57-62
    PubMedGoogle Scholar
  • 112 Slinger P D. Acute lung injury after pulmonary resection: more pieces of the puzzle.  Anesth Analg. 2003;  97 1555-1557
    PubMedGoogle Scholar
  • 113 Licker M, de Perrot M, Spiliopoulos A, Robert J, Diaper J, Chevalley C, Tschopp J M. Risk factors for acute lung injury after thoracic surgery for lung cancer.  Anesth Analg. 2003;  97 1558-1565
    PubMedGoogle Scholar
  • 114 West J B. Pulmonary capillary stress failure.  J Appl Physiol. 2000;  89 2483-2489
    PubMedGoogle Scholar
  • 115 Lases E C, Duurkens V A, Gerritsen W B, Haas F JLM. Oxidative stress after lung resection therapy.  Chest. 2000;  177 999-1003
    PubMedGoogle Scholar
  • 116 Jordan S, Mitchell J A, Quinlan G L, Goldstraw P, Evans T W. The pathogenesis of lung injury following pulmonary resection.  Eur Respir J. 2000;  15 790-799
    CrossrefPubMedGoogle Scholar
  • 117 Williams E A, Evans T W, Goldstraw P. Acute lung injury following lung resection: is one lung anaesthesia to blame?.  Thorax. 1996;  51 114-116
    PubMedGoogle Scholar
  • 118 Waller D A, Keavey P, Woodfine L, Dark J H. Pulmonary endothelial permeabilitiy changes after major resections.  Ann Thorac Surg. 1996;  61 1435-1440
    CrossrefPubMedGoogle Scholar
  • 119 Deslauriers J, Aucoin A, Gregoire J. Postpneumonectomy pulmonary edema.  Chest Surg Clin North Am. 1998;  8 (3) 611-631
    PubMedGoogle Scholar
  • 120 Mathisen D J, Kuo E Y, Hahn C, Moncure A C, Wain J C, Grillo H C, Hurford W E, Wright C D. Inhaled nitric oxide for adult respiratory distress syndrome after pulmonary resection.  Ann Thorac Surg. 1998;  66 1894-1902
    CrossrefPubMedGoogle Scholar
  • 121 Nomori H, Naruke H H, Suemasu K. What ist the advantage of a thoracoscopic lobectomy over a limited thoracotomy procedure for lung cancer surgery?.  Ann Thorac Surg. 2001;  72 879-884
    CrossrefPubMedGoogle Scholar
  • 122 Conacher I D, Slinger P D. Pain Management. In: Kaplan JE, Slinger PD (eds) Thoracic Anesthesia 3rd ed. Philadelphia; Churchill Livingstone 2003: 436-462
    Google Scholar
  • 123 Rodgers A, Walker N, Schug S, McKee A, Kehlet H, van Zundert A, Sage D, Futter M, Saville G, Clark T, McMahon S. Reduction of postoperative mortalitiy and morbidity with epidural or spinal anaesthesia: results from overview of randomized trials.  BMJ. 2000;  321 1493-1497
    CrossrefPubMedGoogle Scholar
  • 124 Taeger K. Stellungnahmen (Pro und Kontra: Thorakaler Epiduralkatheter zur postoperativen Schmerztherapie).  Anästhesiol Intensivmed Notfallmed Schmerzther. 2004;  39 179-182
    PubMedGoogle Scholar
  • 125 Brodner G, Mertes N, Buerkle H, Marcus M AE, van Aken H. Acute pain management: analysis, implications and consequences after prospective experience with 6349 surgical patients.  Eur J Anaesth. 2000;  17 566-575
    CrossrefPubMedGoogle Scholar
  • 126 Park W Y, Thompson J S, Lee K K. Effects of epidural anesthesia and analgesia on perioperative outcome.  Ann Surg. 2001;  234 560-571
    CrossrefPubMedGoogle Scholar
  • 127 Rigg J RA, Jamrozik K, Myles P S, Gilbert B S, Peyton P J, Parsons R W, Collins K S. Epidural anaesthesia and analgesia and outcome of major surgery: a randomised trial.  Lancet. 2002;  359 1276-1282
    CrossrefPubMedGoogle Scholar
  • 128 Peyton P J, Myles P S, Gilbert B S, Rigg J A, Jamrozik K, Parsons R. Perioperative epidural analgesia and outcome after major abdominal surgery in high-risk patients.  Anesth Analg. 2003;  96 548-554
    PubMedGoogle Scholar
  • 129 de Leon Casasola O A. When it comes to outcome, we need to define what a perioperative epidural technique is.  Anesth Analg. 2003;  96 315-318
    PubMedGoogle Scholar
  • 130 Taeger K. Kontra: Thorakaler Epiduralkatheter zur postoperativen Schmerztherapie.  Anästhesiol Intensivmed Notfallmed Schmerzther. 2003;  38 802-804
    PubMedGoogle Scholar
  • 131 Schewe J C, Hering R. Pro: Thorakaler Epiduralkatheter zur postoperativen Schmerztherapie.  Anästhesiol Intensivmed Notfallmed Schmerzther. 2003;  38 798-801
    PubMedGoogle Scholar
  • 132 Scherer R, Giebler R. Thorakale Epiduralanästhesie.  Anästhesiol Intensivmed Notfallmed Schmerzther. 2003;  38 168-190
    PubMedGoogle Scholar
  • 133 Horlocker T T, Caplan R A. Should regional blockade be performed on anesthetized patients?.  ASA Newsletter. 1001;  65 5
    PubMedGoogle Scholar
  • 134 Meißner A, Rolf N, van Aken H. Thoracic epidural anesthesia and the patient with heart disease: benefits, risks and controversies.  Anesth Analg. 1997;  85 517-528
    PubMedGoogle Scholar
  • 135 Riedel B JCJ. Regional anesthesia for major cardiac and noncardiac surgery: more than just a strategy for effective analgesia?.  J Cardiothorac Vasc Anesth. 2001;  15 279-281
    CrossrefPubMedGoogle Scholar
  • 136 Groban L, Dolinski S Y, Zvara D A, Oaks T. Thoracic epidural analgesia: its role in postthoracotomy atrial arrhythmias.  J Cardiothorac Vasc Anesth. 2000;  14 662-665
    CrossrefPubMedGoogle Scholar
  • 137 Groeben H, Schäfer B, Pavlakovic G, Silvanus M T, Peters J. Lung function under high thoracic segmental epidural anesthesia with ropivacaine or bupivacaine in patients with severe obstructive pulmonary disease undergoing breast surgery.  Anesthesiology. 2002;  96 536-541
    CrossrefPubMedGoogle Scholar
  • 138 Gruber E M, Tschernko E M, Kritzinger M, Deviatko E, Wisser W, Zurakowski D, Haider W. The effects of thoracic epidural analgesia with bupivacaine 0.25 % on ventilatory mechanics in patients with severe chronic pulmonary disease.  Anesth Analg. 2001;  92 1015-1019
    PubMedGoogle Scholar
  • 139 Møinicke S, Kehlet H, Dahl J B. A qualitative and quantitative systematic review of preemptive analgesia for postoperative pain relief.  Anesthesiology. 2002;  96 725-741
    CrossrefPubMedGoogle Scholar
  • 140 Obata H, Saito S, Fujita N, Fuse Y, Ishizaki K, Goto F. Epidural block with mepivacaine before surgery reduces longterm post-thoracotomy pain.  Can J Anaesth. 1999;  46 1127-1132
    CrossrefPubMedGoogle Scholar

1 O2-Konzentration im Jet-Gas

Prof. Dr. med. Klaus Wiedemann

Thoraxklinik Heidelberg gGmbH · Abt. für Anästhesiologie und Intensivmedizin

Amalienstr. 5 · 69126 Heidelberg

eMail: klaus.wiedemann@thoraxklinik-heidelberg.de

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