This handbook first appeared in 1999 as an internal production at Birmingham Heartlands Hospital. It set down the author's practice of thoracic anaesthesia as described and demonstrated to many generations of trainee anaesthetists. It was well received so, suitably revised, is now offered to a wider readership. It is not a text book but a guide in which theory is kept to the minimum needed to support practice. Its main purposes are: providing those new to the subject with basic information and practical instruction; and supplying those who have acquired basic competence with the practical survival skills needed to manage a solo list of chest surgery patients smoothly and safely. It is written from first hand experience by a consultant who has spent almost thirty years in the West Midlands Regional Unit: one of the busiest in the United Kingdom. The twelve chapters progress logically from pre-operative assessment through the anaesthetic room, operating theatre and into recovery. There are separate chapters on how to approach every condition likely to be encountered on a chest surgery list,and on the differential diagnosis and management of intra-operative emergencies.
Outstanding scale drawings, of great value to both teachers and trainees, illustrate all the common double-lumen tube positioning problems.