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Korean Journal of Anesthesiology 1993;26(3):587-591.
DOI: https://doi.org/10.4097/kjae.1993.26.3.587   
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.
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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