Thoracic Yoa

Question 1

How is the diagnosis of lung cancer made? What is your
prediction for the most likely type of malignancy?

Question 2

What are the less common manifestations of bronchogenic
carcinoma?

Question 3

The patient has a long history of cigarette smoking. What is
the significance of this finding?

Question 4

How would you evaluate the patient prior to surgery?

Question 5

What are the pulmonary function guidelines that indicate an
increased risk for morbidity and mortality?

Question 6

What are the preoperative concerns of induction
immunotherapy?

Question 7

How would you premedicate, monitor, and anesthetize this
patient?

Question 8

How many types of bronchoscopes are available and what are
the intraoperative considerations of each one?

Question 9

What are the indications for cervical mediastinoscopy? Are
there potential complications?

Question 10

The decision was made to proceed with a robotic right middle
lobectomy. How would this alter your management?

Question 11

What are the indications for single-lung ventilation and how
can it be accomplished?

Question 12

What are the contraindications to the use of double-lumen
endotracheal tubes (DLTs)?

Question 13

Would you use a right- or left-sided DLT?

Question 14

How do you know that the tube is in the correct position?

Question 15

How many types of bronchial blockers are available? What are
the advantages and disadvantages of bronchial blockers?

Question 16

How will systemic oxygenation be monitored during single-
lung ventilation? What is the mechanism of pulse oximetry?

Question 17

The patient was placed in the lateral decubitus position.
Describe the effects of lateral positioning on pulmonary blood
flow and respiration

Question 18

What is hypoxic pulmonary vasoconstriction (HPV)?

Question 19

What are the effects of anesthetic agents on HPV and their
clinical implications?

Question 20

Discuss pulmonary blood flow distribution, shunt flow, and
partial pressure of oxygen in the arterial blood (PaO2)
(fractional inspired O2 concentration [FIO2] = 1.0) during single-lung ventilation in the
lateral position

Question 21

How could you improve oxygenation during single-
lung ventilation?

Question 22

A right middle lobectomy was performed. Would you
extubate the trachea at the end of the procedure?

Question 23

What are the immediate life-threatening complications that
follow lobectomy or pneumonectomy?

Question 24

Why is it important to control postoperative pain? How
would you achieve this goal?