Anesthetic Management for Videothoracoscopic Sympathectomy in a Patient with Upper Limb Hyperhidrosis. |
Sung Su Kim, Sang Kyi Lee |
Department of Anesthesiology, Chonbuk National University Medical School, Chonju, Korea. |
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Abstract |
In recent year, some thoracic operations were performed by use of videothoracoscopy becauae of its benefits: minimal postoperative pain and complications, small surgical scars and shorter hospital stay. We reyort our experience of the anesthetic management for a patient who underwent thoracic endoscopic sympathectomy for upper limh hyperhidrosia. One lung ventilation with a left-sided double lumen endobroncheal tube was performed to provide adequate surgical access, and a careful monitoring was done for adequate oxygenation and ventilation. The patient developed a hypercarbia and sinus tachycardia after CO2 insufflation into the right pleural cavity. We discusaed the benefits and risks of endoscopic thoracic surgery and aneethetic managements. |
Key Words:
Thoracoscopy; Sympathectomy; Hyperhidrosis |
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