The perioperative management of patients with severe emphysema

Katherine P. Grichnik, Steven E. Hill

Research output: Contribution to journalReview article

7 Scopus citations

Abstract

Emphysema may be commonly encountered in many surgical populations. The pathophysiology rests on airspace enlargement and obstruction to airflow, especially expiratory airflow. Medical therapy can ameliorate symptoms and improve exercise tolerance but not cure the disease. Surgical attempts to treat emphysema with LVRS remain investigational and lung transplantation is limited by donor availability. Unique anesthetic considerations include the potential for dynamic pulmonary hyperinflation, barotrauma, and pulmonary edema.

Original languageEnglish (US)
Pages (from-to)364-387
Number of pages24
JournalJournal of cardiothoracic and vascular anesthesia
Volume17
Issue number3
DOIs
StatePublished - Jun 2003

Keywords

  • Anesthesia
  • Barotrauma
  • Dynamic pulmonary hyperinflation
  • Emphysema
  • Lung volume reduction surgery
  • Pulmonary edema

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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