Anesthesia for thoracic surgery james b eisenkraft edmond cohen steven m neustein key points it is important to determine prior to the onset of anesthesia and surgery whether the patient will be able to tolerate the planned lung resection preoperative assessment of vital capacity is critical because at least three times the tidal volume vt. During thoracic surgery several factors act to further increase mismatch general anesthesia neuromuscular blockade and mechanical ventilation may cause a decrease in functional residual capacity of both lungs compression of the dependent lung in the lateral decubitus position may cause atelectasis. The advantages of robot assisted thoracic surgery are also increasingly prominent the bulkiness and particularity of the robot operating technology render anesthetic management both difficult and complex in addition the anesthesia requirements of thoracic surgery are different from those of robot assisted surgeries of other specialties
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