The Year in Thoracic Anesthesia: Selected Highlights From 2020

Michael L Boisen; Rohesh J Fernando; Lavinia Kolarczyk; Emily Teeter; Travis Schisler; Luca La Colla; Vladyslav Melnyk; Constantin Robles; Vidya K Rao; Theresa A Gelzinis

doi:10.1053/j.jvca.2021.04.012

The Year in Thoracic Anesthesia: Selected Highlights From 2020

J Cardiothorac Vasc Anesth. 2021 Oct;35(10):2855-2868. doi: 10.1053/j.jvca.2021.04.012. Epub 2021 Apr 17.

Authors

Affiliations

¹ Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, PA.
² Cardiothoracic Section, Department of Anesthesiology, Wake Forest School of Medicine, Winston-Salem, NC.
³ Department of Anesthesiology, University of North Carolina, Chapel Hill, NC.
⁴ Department of Anesthesiology, Pharmacology, and Therapeutics, University of British Columbia, Vancouver General Hospital, Vancouver, British Columbia, Canada.
⁵ Department of Anesthesiology and Pain Medicine, University of Toronto, Toronto General Hospital, Toronto, Ontario, Canada.
⁶ Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University, Stanford, CA.
⁷ Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, PA. Electronic address: [email protected].

PMID: 34053812
DOI: 10.1053/j.jvca.2021.04.012

Abstract

Selected highlights in thoracic anesthesia in 2020 include updates in the preoperative assessment and prehabilitation of patients undergoing thoracic surgery; updates in one-lung ventilation (OLV) pertaining to the devices used for OLV; the use of dexmedetomidine for lung protection during OLV and protective ventilation, recommendations for the care of thoracic surgical patients with coronavirus disease 2019; a review of recent meta-analyses comparing truncal blocks with paravertebral and thoracic epidural blocks; and a review of outcomes after initiating the enhanced recovery after surgery guidelines for lung and esophageal surgery.

Keywords: OLV devices; dexmedetomidine; enhanced recovery after thoracic surgery; prehabilitation; protective one-lung ventilation; thoracic surgery and COVID-19; truncal regional blocks.

Publication types

Review

MeSH terms

Anesthesia, Epidural*
Anesthesiology*
COVID-19*
Humans
One-Lung Ventilation*
SARS-CoV-2