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Description
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Updated: Jun 18, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

An update on anesthesia for thoracoscopic surgery.

Gregory W Fischer¹, Edmond Cohen

¹Department of Anesthesiology, The Mount Sinai School of Medicine, New York, New York 10029, USA.

Current Opinion in Anaesthesiology

|November 13, 2009

Summary

This summary is machine-generated.

Video-assisted thoracoscopic surgery (VATS) is increasingly common in thoracic procedures. Anesthesiologists need updated management strategies for patients undergoing VATS, including one-lung ventilation (OLV) and managing patient expectations.

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Last Updated: Jun 18, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery

Non-Intubated Video-Assisted Thoracoscopic Surgery

Published on: May 26, 2023

Area of Science:

Anesthesiology
Thoracic Surgery
Minimally Invasive Procedures

Background:

Thoracic surgery is shifting towards video-assisted thoracoscopic surgery (VATS).
Anesthetic management is closely linked to surgical approach.
VATS offers cosmetic and economic benefits over traditional thoracotomy.

Purpose of the Study:

To update anesthesiologists on managing thoracic surgical patients undergoing VATS.
To highlight the evolving anesthetic considerations for VATS procedures.

Main Methods:

Review of current anesthetic practices for VATS.
Analysis of the impact of VATS on one-lung ventilation (OLV) indications.
Discussion of modified hypoxemia treatment during OLV.

Main Results:

Large trials comparing VATS and thoracotomy are limited.
All VATS procedures necessitate one-lung ventilation (OLV).
Patient expectations of minimal risk with VATS can increase stress on anesthesiologists.

Conclusions:

VATS is rapidly gaining popularity in thoracic surgery.
Anesthesiologists must adapt to the anesthetic implications of VATS.
Updated management strategies are crucial for complex VATS patients.