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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
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Anesthesia for nonintubated video-assisted thoracic surgery.
Hiroshi Sunaga1, Justin D Blasberg, Paul M Heerdt
1aDepartment of Anesthesiology, Jikei University School of Medicine, Tokyo, Japan bDepartment of Surgery cDepartment of Anesthesiology, Yale School of Medicine, New Haven, Connecticut, USA.
Current Opinion in Anaesthesiology
|December 2, 2016
Summary
Nonintubated video-assisted thoracic surgery (NIVATS) offers advantages over traditional anesthesia. Carefully selected patients can benefit from NIVATS, a minimally invasive approach.
Area of Science:
- Thoracic Surgery
- Anesthesiology
- Minimally Invasive Procedures
Background:
- Video-assisted thoracic surgery (VATS) has become standard, replacing thoracotomy.
- Technological advancements enable less invasive thoracic procedures.
- The need for endotracheal intubation in VATS is being re-evaluated.
Purpose of the Study:
- To review nonintubated video-assisted thoracic surgery (NIVATS).
- To discuss NIVATS advantages, indications, and anesthetic techniques.
- To cover intraoperative crisis management in NIVATS.
Main Methods:
- Review of current literature on NIVATS.
- Analysis of randomized trials and meta-analyses.
- Discussion of anesthetic strategies including regional and epidural analgesia.
Main Results:
- NIVATS allows spontaneous ventilation and regional anesthesia in select cases.
- Evidence suggests potential advantages of NIVATS over general anesthesia with intubation.
- NIVATS is expanding to include more complex multi-port procedures.
Conclusions:
- NIVATS is a viable alternative for carefully selected patients.
- Anesthesia for NIVATS shares some risks with general anesthesia.
- Successful NIVATS requires appropriate patient selection and management.
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