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Related Experiment Video

Updated: Apr 11, 2026

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Non-intubated anesthesia in thoracic surgery-technical issues.

Gabor Kiss1, Maria Castillo1

  • 11 Anaesthesia and Surgical Intensive Care, Department of Cardiovascular and Thoracic Surgery, University Hospital of Lille, 2 Avenue Oscar Lambret, F-59000 Lille, France ; 2 Department of Anesthesiology, Icahn School of Medicine, Mount Sinai Medical Center, New York, NY 10029, USA.

Annals of Translational Medicine
|June 6, 2015
PubMed
Summary
This summary is machine-generated.

Awake thoracic surgery (ATS) presents challenges but offers patient benefits. Techniques like local wound infiltration and lidocaine provide anesthesia, with advanced options for sustained postoperative pain relief.

Keywords:
Awake thoracic surgery (ATS)awake video-assisted thoracoscopic surgeryserratus anterior plane blockthoracic epidural anesthesia (TEA)thoracic paravertebral blockade

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Area of Science:

  • Anesthesiology
  • Thoracic Surgery

Background:

  • Awake thoracic surgery (ATS) is technically demanding compared to general anesthesia (GA).
  • Despite challenges, ATS can offer significant patient advantages.

Purpose of the Study:

  • To review anesthetic and analgesic techniques for ATS.
  • To highlight methods for managing pain during and after awake thoracic procedures.

Main Methods:

  • Discussion of local wound infiltration and pleural lidocaine for ATS.
  • Exploration of advanced techniques including wound catheters, thoracic wall blocks, intercostal nerve blocks, paravertebral blocks, and epidural analgesia.

Main Results:

  • Local wound infiltration and pleural lidocaine are viable options for ATS.
  • More invasive techniques allow for catheter placement for extended postoperative analgesia.

Conclusions:

  • Effective pain management is crucial for successful ATS.
  • A range of anesthetic and analgesic strategies, from simple to complex, can be employed for ATS and postoperative care.