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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
Minimally Invasive, Maximally Effective: Anesthetic Management for Endoscopic Cardiac Surgery
Melina Heine1, Jay S Saggu1, Christoph G S Nabzdyk1
1Department of Anesthesiology, Mass General Brigham, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Abstract:
Endoscopic cardiac surgery is associated with faster recovery, shorter hospital stays, less blood loss, fewer postoperative infections, and better cosmetic results. Although not suitable for every patient, minimally invasive cardiac surgery, including endoscopic cardiac surgery, may demonstrate advantages over standard sternotomy-based approaches. On the other hand, the steep learning curve and specific setup present challenges to surgeons and anesthesiologists. This review provides a comprehensive overview of the anesthetic challenges encountered in the perioperative management of patients undergoing endoscopic cardiac surgery.
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