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THORACIC SYMPATHECTOMY: SEDATION EXPERIENCE.

Maria Ribeiro1, Marta Coelho1, Teresa Monteiro1

  • 1Anesthesiology and Cardiothoracic Surgery, Centro Hospitalar Universitário Lisboa Norte, Lisboa, Portugal.

Portuguese Journal of Cardiac Thoracic and Vascular Surgery
|April 9, 2021
PubMed
Summary
This summary is machine-generated.

Sedation with local anesthesia is an effective and safe anesthetic technique for video-assisted thoracic sympathectomy, avoiding general anesthesia complications. Further research with larger samples is recommended to confirm these findings for hyperhidrosis treatment.

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Area of Science:

  • Thoracic surgery
  • Anesthesiology
  • Minimally invasive procedures

Background:

  • Thoracic sympathectomy is a primary treatment for hyperhidrosis.
  • Traditionally performed under general anesthesia, it carries associated risks.
  • Minimally invasive techniques allow for alternative anesthetic approaches.

Purpose of the Study:

  • To evaluate the efficacy and safety of sedation with local anesthesia for video-assisted thoracic sympathectomy.
  • To compare this technique against traditional general anesthesia.

Main Methods:

  • A study involving 63 patients undergoing video-assisted thoracic sympathectomy.
  • Anesthesia involved propofol infusion for moderate to deep sedation and local infiltration with lidocaine and ropivacaine.
  • Patients were monitored for pain and complications for 30 days post-procedure.

Main Results:

  • No intra-operative complications were reported in the study sample.
  • Only two patients experienced poorly controlled pain in the immediate postoperative period.
  • The technique demonstrated efficiency and safety in managing patients.

Conclusions:

  • Sedation combined with local anesthesia is an effective and safe anesthetic strategy for video-assisted thoracic sympathectomy.
  • This approach mitigates risks associated with general anesthesia and one-lung ventilation.
  • Larger studies are needed to further validate sedation as a preferred anesthetic method for thoracic sympathectomy.