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Nonintubated–Awake Anesthesia for Uniportal Video-Assisted Thoracic Surgery Procedures
- Source :
- Thoracic Surgery Clinics. 27:399-406
- Publication Year :
- 2017
- Publisher :
- Elsevier BV, 2017.
-
Abstract
- Nonintubated video-assisted thoracic surgery (VATS) strategies are gaining popularity. This review focuses on noninutbated VATS, and discusses advantages, indications, anesthetic techniques, and approaches to intraoperative crisis management. Advances in endoscopic, endovascular, and robotic techniques have expanded the range of surgical procedures that can be performed in a minimally invasive fashion. The nonintubated thoracoscopic approach has been adapted for use with major lung resections. The need for general anesthesia and endotracheal intubation has been reexamined, such that regional or epidural analgesia may be sufficient for cases where lung collapse can be accomplished with spontaneous ventilation and an open hemithorax.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
Lung Collapse
Spontaneous ventilation
Lung resections
Endotracheal intubation
Anesthesia, General
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
030202 anesthesiology
Intubation, Intratracheal
Humans
Minimally Invasive Surgical Procedures
Medicine
Thoracic Surgery, Video-Assisted
business.industry
General surgery
Surgical procedures
Surgery
Cardiothoracic surgery
Anesthesia
Video assisted thoracic surgery
Anesthetic
business
medicine.drug
Subjects
Details
- ISSN :
- 15474127
- Volume :
- 27
- Database :
- OpenAIRE
- Journal :
- Thoracic Surgery Clinics
- Accession number :
- edsair.doi.dedup.....18fc1c79f0209b439e2ec0113f071424