Abstract
The provision of anesthesia at high (>3000 m) altitude is possible, but with some alterations in technique. Changes in pulmonary physiology are the primary cause of complications under reduced pressures. Altered physiology may be seen in mountain expeditions, in airline travel, and in space. Usually accompanied by sparse or austere resources, medical care at altitude demands a thorough understanding of gas exchange, vapor pressures, and cardiovascular physiology.
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