Survey of thoracic anesthetic practice in Italy

J Cardiothorac Vasc Anesth. 2013 Dec;27(6):1321-9. doi: 10.1053/j.jvca.2013.03.026. Epub 2013 Sep 12.


Objective: The object of this study was to conduct and analyze the output of a survey involving a cohort of all Italian hospitals performing thoracic surgery to gather data on anesthetic management, one-lung ventilation (OLV) management, and post-thoracotomy pain relief in thoracic anesthesia.

Design: Survey.

Setting: Italy.

Participants: An invitation to participate in the survey was e-mailed to all the members of the Italian Society of Anesthesia and Intensive Care Medicine.

Intervention: None.

Measurements and main results: A total of 62 responses were received from 47 centers. The key findings were: Double-lumen tube is still the first choice lung separation technique in current use; pressure-controlled ventilation and volume-controlled ventilation modes are homogenously distributed across the sample and, a tidal volumes (VT) of 4-6 mL/kg during OLV was preferred to all others; moderate or restrictive fluid management were the most used strategies of fluid administration in thoracic anesthesia; thoracic epidural analgesia represented the "gold standard" for post-thoracotomy pain relief in combination with intravenous analgesia.

Conclusion: The results of this survey showed that Italian anesthesiologist follow the recommended standard of care for anesthetic management during OLV.

Keywords: airway management; bronchial blockers.; double-lumen tube; fluid management; one-lung ventilation; postoperative pain relief; thoracic anesthesia.

MeSH terms

  • Airway Management / statistics & numerical data
  • Airway Management / trends
  • Anesthesia / statistics & numerical data
  • Anesthesia / trends*
  • Anesthesiology / statistics & numerical data
  • Anesthesiology / trends*
  • Cohort Studies
  • Consciousness Monitors
  • Fluid Therapy / statistics & numerical data
  • Fluid Therapy / trends
  • Health Care Surveys
  • Humans
  • Italy
  • Monitoring, Intraoperative
  • One-Lung Ventilation
  • Pain, Postoperative / drug therapy
  • Surveys and Questionnaires
  • Thoracic Surgical Procedures / statistics & numerical data
  • Thoracic Surgical Procedures / trends*
  • Thoracotomy / adverse effects