RT Book, Section
A1 Miller, Timothy E.
A2 Barbeito, Atilio
A2 Shaw, Andrew D.
A2 Grichnik, Katherine
SR Print(0)
ID 56784704
T1 Chapter 14. Extrapleural Pneumonectomy
T2 Thoracic Anesthesia
YR 2012
FD 2012
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-162566-1
LK accessanesthesiology.mhmedical.com/content.aspx?aid=56784704
RD 2023/03/20
AB In  an  extrapleural  pneumonectomy  the  lung  is  removed  en  bloc,  together  with  parietal  and  visceral  pleura,  ipsilateral  hemidiaphragm  and  pericardium,  as  well  as  mediastinal  lymph  nodes.The  operation  is  now  reserved  almost  exclusively  for  the  treatment  of  mesothelioma.  A  recent  randomized  control  trial  showed  no  improved  survival  in  patients  treated  with  surgery  in  the  context  of  trimodal  therapy.2-10%  of  individuals  with  prolonged  asbestos  exposure  will  develop  mesothelioma,  but  more  than  80%  of  mesothelioma  patients  have  a  history  of  exposure  to  asbestos.The  major  anesthetic  issues  are  significant  blood  loss,  hemodynamic  instability,  difficult  fluid  therapy,  risk  of  cardiac  herniation  and  high  probability  of  dysrhythmias.