md-medicaldata

Authors

Ivana Nikolić¹, Marija Marković <sup>1

1</sup>Klinika za anesteziju i intenzivnu terapiju, Vojnomedicinska akademija

 

UDK: 616-089.5

The paper was received / Rad primljen 01.04.2025.

Accepted / Rad prihvaćen: 21.04.2025.

 

Correspondence to:

Ivana Nikolić
Vojnomedicinska akademija, Beograd, Srbija
Crnotravska 17
Tel: 065 669 5205
e-mail: tanatane@yahoo.com

 

 

Sažetak

 

 

Anestezija za video-asistiranu torakalnu hirurgiju je izazov za svakog anesteziologa. Anesteziolog mora razumeti specifičnosti ovakvog hirurškog pristupa koji podrazumeva otvaranje grudnog koša i manipulaciju  disajnim putem, kao i lateralni dekubitalni položaj. Neophodno je ovakvog pacijenta optimizovati preoperativno,  ostvariti separatnu ventilaciju kao i razumeti sve fiziološke promene koje se javljaju posledično u VATS-u kako bi imali dobru intraoperativnu anesteziološku strategiju a samim tim bezbednog pacijenta i njegovo kvalitetno lečenje.

 

Ključne reči:

anestezija, video-asistirana torakalna hirurgija, separatna ventilacija

 

 

 

Abstract

 

Anesthesia for video-assisted thoracic surgery is a challenge for every anesthesiologist. The anesthesiologist must understand the specifics of this surgical approach, which involves opening the chest and manipulating the airway and the lateral decubitus position. It is necessary to optimize such a patient preoperatively, achieve separate ventilation, and understand all the physiological changes resulting from VATS to have a good intraoperative anesthetic strategy and, therefore, a safe patient and quality treatment.

 

Key words:

anesthesia, video-assisted thoracic surgery, separate ventilation

 

 

 

 

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PDF: 05-Nikolić I. and Marković M. MD-Medical Data 2025;17(2) 113-116.pdf