Korean J Anesthesiol.  1993 Jun;26(3):587-591. 10.4097/kjae.1993.26.3.587.

Anesthetic Management for Videothoracoscopic Sympathectomy in a Patient with Upper Limb Hyperhidrosis

• Kim SS
• Lee SK

• KMID: 2145935
• DOI: http://doi.org/10.4097/kjae.1993.26.3.587

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.

Keyword

Thoracoscopy; Sympathectomy; Hyperhidrosis

MeSH Terms

Cicatrix
Humans
Hyperhidrosis*
Insufflation
Length of Stay
One-Lung Ventilation
Oxygen
Pain, Postoperative
Pleural Cavity
Risk Assessment
Sympathectomy*
Tachycardia, Sinus
Thoracic Surgery
Thoracoscopy
Upper Extremity*
Ventilation
Oxygen