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Updated: May 19, 2026
05:39
Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Awake thoracic surgery--is it worth the trouble?
1Department of Thoracic Surgery, Policlinico Tor Vergata University, Rome, Italy. pompeo@med.uniroma2.it
Seminars in Thoracic and Cardiovascular Surgery
|August 28, 2012
Summary
Awake thoracic surgery using regional anesthesia is a promising approach for high-risk patients. This technique avoids general anesthesia side effects, speeds recovery, and reduces morbidity in various thoracoscopic procedures.
Area of Science:
- Thoracic Surgery
- Anesthesiology
- Pulmonology
Background:
- Awake thoracic surgery utilizes regional anesthesia in spontaneously breathing, conscious patients.
- This approach aims to mitigate general anesthesia side effects and improve patient outcomes.
Observation:
- The technique has been successfully applied to various thoracoscopic procedures.
- These include pleural effusion management, wedge resections, lung volume reduction, bullectomy, and thymectomy.
Findings:
- Ongoing clinical experience with awake thoracic surgery shows promising results.
- The approach is particularly beneficial for high-risk surgical candidates.
Implications:
- Awake thoracic surgery offers a viable alternative to general anesthesia for specific thoracic procedures.
- Further research and adoption could enhance recovery and reduce morbidity in thoracic surgery patients.
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