Related Experiment Video
Updated: Jul 18, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Emergency orthopaedic surgery under noninvasive ventilation after refusal for general anaesthesia
Frédéric Thys1, Nicolas Delvau, Jean Roeseler
1Emergency Medicine Unit, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Bruxelles, Belgium. thys@rean.ucl.ac.be
Abstract:
In this observation, we report a novel use of noninvasive positive pressure ventilation in the operating room to support ventilation in an acidotic hypercapnic patient with severe acute chronic respiratory failure refuted for general anaesthesia, operated under spinal anaesthesia for a femoral fracture. The feasibility of noninvasive ventilatory assistance during surgery performed under regional anaesthesia is reported here. In selected cases, noninvasive ventilation can be used in the management of patients with acute or chronic respiratory failure requiring an urgent surgical intervention but in whom the respiratory status excluded a general anaesthesia.
Related Concept Videos
Cardiopulmonary Resuscitation II: ACLS Airway Management
Mechanical Ventilation III: Noninvasive Ventilation
Noninvasive Positive-Pressure Ventilation (NIPPV)
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Mechanical Ventilation II: Invasive Ventilation
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Aneurysm IV: Nursing Management
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
