Anesthetists have different opinions regarding the best technique of anesthesia for transthoracic operations. During intrathoracic operations, the major concerns are adequate ventilation and the least possible interference with circulation. A number of techniques in current use are: No change in method either before or after the pleura is opened; the patient being permitted to breath at atmospheric pressures.
Spontaneous breathing by the patient with pressure in the rebreathing circuit increased above atmospheric without any assistance to respiration Maintenance of atmospheric pressures in the rebreathing circuit with respirations being assisted occasionally or continuously. Deliberate abolition of spontaneous and complete control of breathing with respect to the rate, volume, and rhythm. What is your preferred technique for anesthesia in transthoracic operations?