Dt. Green et al., ANESTHESIA FOR A PATIENT UNDERGOING THORACOSCOPIC ASSISTED TRANS-HIATAL ESOPHAGECTOMY, European journal of anaesthesiology, 12(5), 1995, pp. 483-486
We describe the anaesthetic management of an elderly woman who underwe
nt thoracoscopically assisted trans-hiatal oesophagectomy One-lung ven
tilation with insufflation of carbon dioxide was necessary for adequat
e surgical access. Potential intra-operative problems included hypoxae
mia during one-lung ventilation, mediastinal shift and inadvertent dam
age to mediastinal structures.