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Related Experiment Video

Updated: Jun 25, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

Fast track in thoracic anesthesia and surgery.

Javier H Campos¹

¹Department of Anesthesia, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA. javier-campos@uiowa.edu

Current Opinion in Anaesthesiology

|February 25, 2009

Summary

Fast track anesthesia for lung resection is slowly evolving. Careful patient selection and multimodal approaches may facilitate its application, but more research is needed to confirm benefits.

Related Experiment Videos

Last Updated: Jun 25, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

Area of Science:

Anesthesiology
Thoracic Surgery

Background:

Fast-track surgery aims to expedite patient recovery post-operation.
Its application in thoracic surgery, particularly lung resection, is less established than in other specialties.

Purpose of the Study:

To review the current status of fast-track anesthesia in patients undergoing lung resection.
To identify factors influencing the feasibility and success of fast-track thoracic anesthesia.

Main Methods:

Review of existing literature on fast-track approaches in thoracic anesthesia.
Analysis of factors such as patient selection, surgical technique, and pain management.

Main Results:

Limited studies currently support the widespread adoption of fast-track in thoracic surgery.
Preoperative identification of patients with good pulmonary reserve is crucial.
Minimizing postoperative pulmonary complications and effective management are key.
High surgical volume, single surgeon practice, video-assisted thoracic surgery (VATS), open thoracotomy, multimodal analgesia, and thoracic epidural analgesia can facilitate fast-tracking.

Conclusions:

The evolution of fast-track anesthesia in thoracic surgery has been gradual.
Further research is essential to determine the specific risks and benefits for thoracic surgical patients.
Identifying patient subgroups who can safely benefit from fast-track protocols requires additional investigation.