Year : 2021 | Volume
| Issue : 3 | Page : 249
Special issue on “Thoracic anesthesia”
Department of Anesthesia, College of Medicine, King Saud University, Riyadh, Saudi Arabia
Professor of Anesthesia, College of Medicine, King Saud University, Riyadh
Source of Support: None, Conflict of Interest: None
|Date of Submission||12-Feb-2021|
|Date of Acceptance||12-Feb-2021|
|Date of Web Publication||19-Jun-2021|
|How to cite this article:|
Eldawlatly A. Special issue on “Thoracic anesthesia”. Saudi J Anaesth 2021;15:249
Thoracic surgery and anesthesia have evolved recently in terms of techniques, tools, and procedures. An important goal of thoracic anesthesia is to minimize the increase of pulmonary artery pressure and pulmonary vascular resistance intraoperatively as well as minimizing V/Q shunting during one-lung ventilation (OLV). Preserving hypoxic pulmonary vasoconstriction (HPV) during thoracic anesthesia is critical to maintaining normal PaO2 and SpO2 during OLV. In this special issue of thoracic anesthesia, that physiological issue has been addressed besides the role of total intravenous anesthesia (TIVA) versus inhalation anesthetics during OLV. In modern thoracic anesthesia practice, lung separation can be achieved in adults and pediatrics using bronchial blockers. However, a double-lumen tube is still the gold standard tool in thoracic anesthesia. That part is also well presented in this issue of thoracic anesthesia with further details and a description of the advantages/disadvantages of each lung isolation tool. Optimizing the patient condition shortly before surgery and enhanced recovery after thoracic anesthesia with reference to fluid management are well documented in this special issue. Pain relief following thoracic surgery is well covered in this issue. Thoracic epidural analgesia as the gold standard for thoracotomy and the role of ultrasound-guided nerve blocks in either thoracotomy/thoracoscopy are well reported in this issue as well. Also, anesthesia for video-assisted thoracic surgery (VATS) and robot-assisted thoracic surgery (RATS) are described in detail in this issue. The impact of the COVID 19 era on the practice of awake thoracic anesthesia is also well described in this issue. Nevertheless, education in thoracic anesthesia and the lessons learned from the EACTA program are well described and presented in this issue.
We tried in this special issue to give our readers an update on thoracic anesthesia. The tremendous help and endless support we had received from the elite authors who kindly contributed to this issue especially in this difficult time has definitely contributed to the success of this piece of art. I hereby heartedly would like to thank all of them for their time and patience shown during the production of this special issue on thoracic anesthesia.
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Conflicts of interest
There are no conflicts of interest.