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Related Concept Videos

General Anesthesia: Overview01:24

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
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Author Spotlight: A Non-Intubated Video-Assisted Thoracoscopic Surgery with Multimodal Analgesia and Sevoflurane Inhalation Anesthesia
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Anesthesia for thoracic ambulatory surgery.

Julien Raft1,2, Philippe Richebé3

  • 1Department of Anesthesiology, Institut de Cancerologie de Lorraine, 6 avenue de Bourgogne, 54500 Vandoeuvre-lès-Nancy, France.

Current Opinion in Anaesthesiology
|October 1, 2019
PubMed
Summary
This summary is machine-generated.

Enhanced recovery after thoracic surgery (ERATS) guidelines show promise for ambulatory procedures. Anesthesia combining regional blocks and short-acting agents optimizes pain control and patient discharge for thoracic ambulatory surgery.

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Area of Science:

  • Anesthesiology
  • Thoracic Surgery
  • Ambulatory Care

Background:

  • Ambulatory surgery is crucial for cost-effective, safe patient care, improving support and reducing hospital stays.
  • Thoracic ambulatory surgery aims to enhance patient recovery and streamline care pathways.

Purpose of the Study:

  • To review the current anesthetic techniques for thoracic ambulatory surgery.
  • To evaluate the applicability of enhanced recovery after thoracic surgery (ERATS) principles.

Main Methods:

  • Review of current literature on anesthesia for thoracic ambulatory surgery.
  • Analysis of enhanced recovery after thoracic surgery (ERATS) guidelines and their components.
  • Examination of regional analgesia techniques and general anesthesia strategies.

Main Results:

  • Enhanced recovery after thoracic surgery (ERATS) can be safely implemented, without increasing readmission or mortality.
  • Video-assisted thoracoscopy is suitable for fast-track programs.
  • Anesthetic management involves combining regional analgesia (e.g., paravertebral, Serratus plane, erector spinae plane blocks) with short-acting general anesthesia agents.
  • Thoracic epidural analgesia is effective but may delay discharge; newer blocks offer alternatives for ambulatory pain control.

Conclusions:

  • ERATS programs may improve outcomes and reduce length of stay.
  • The impact of ERATS on thoracic ambulatory surgery, particularly for lung resections, requires further evaluation.
  • Optimized anesthetic and regional analgesia techniques are key for successful thoracic ambulatory surgery.