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Updated: Feb 18, 2026

Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
Published on: May 26, 2023
Thoracic Surgery Considerations in the Mentally Ill or Handicapped Patient
Anthony B Mozer1, James E Speicher2, Carlos J Anciano3
1General Surgery Resident, Department of Surgery, East Carolina University, 600 Moye Boulevard, Greenville, NC 27834, USA.
Abstract:
Increasing prevalence of mentally ill and handicapped populations requiring surgical thoracic interventions has brought to light their worse associated morbidity and mortality. Baseline functional status, caretaker environment, and mental limitations in day to day life have an impact in the short and long term from these interventions. Aggressive perioperative care, multispecialty approach, technical aspects, palliative procedures, and ethical considerations all play a part in improving outcomes. In this article real cases are presented illustrating points of care and situations for discussion.
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