(Table 37-8: Clinical Approach to One-Lung Ventilation Management)

1. If there is any doubt about the stability of the patient or if the patient becomes hypotensive, dusky, or tachycardic, two-lung ventilation should be resumed until the problems has been resolved.
2. Because of pericardial manipulation (during left thoracotomy in particular) and pulling on the great vessels, cardiac dysrhythmias and hypotension are common. Cardiotonic drugs should be prepared and kept available for use during any thoracic surgical procedure.
3. Most thoracic surgical procedures represent only relative indications for OLV, and the benefits of OLV should always be weighed against the risks to the patient.

Anesthesia for Thoracic Surgery

1. Preoperative Evaluation
2. Preoperative Preparation
3. Intraoperative Monitoring
4. One-Lung Ventilation
5. Management of One-Lung Ventilation
6. Clinical Approach to Management of One-Lung Ventilation
7. Choice of Anesthesia for Thoracic Surgery
8. Hypoxic Pulmonary Vasoconstriction
9. Anesthesia for Diagnostic Procedures
10. Anesthesia for Special Situations
11. Myasthenia Gravis
12. Postoperative Management and Complications