胸腔镜心脏手术麻醉管理的研究进展

Research progress of anesthesia management in video-assisted thoracoscopic cardiac surgery

随着微创、可视化技术的发展,胸腔镜心脏手术得到了长足发展,对相应手术的麻醉管理提出了更高的要求。近年来国内外大量的临床研究发现,充分的术前影像学检查与术中强化的多普勒超声监测、快通道麻醉模式和完善的单肺通气保护性肺通气策略成为胸腔镜心脏手术麻醉管理的关键内容。该文对胸腔镜心脏手术麻醉管理的研究进展作一综述。

With the development of minimally invasive and visual technology,video-assisted thoracoscopic cardiac surgery has made rapid progress in recent years. A large number of clinical researches at home and abroad indicate that sufficient preoperative imageological examination,intensified Doppler ultrasonography monitoring during operation,fast-track anesthesia and effective one-lung ventilation lung protective strategy are the main points of anesthesia management in video-assisted thoracoscopic cardiac surgery. The research progress of anesthesia management in video-assisted thoracoscopic cardiac surgery is reviewed in this paper.