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Clinical application of preserving spontaneous breathing non-intubation anesthesia in thoracoscopic surgery for lung cancer under ERAS concept
- Source :
- Asia-Pacific journal of clinical oncologyREFERENCES. 18(5)
- Publication Year :
- 2021
-
Abstract
- OBJECTIVE To explore the safety and feasibility of thoracoscopic surgery in patients with lung cancer under non-intubation anesthesia, and to evaluate the advantages of the non-intubation anesthesia compared with intubation anesthesia on enhanced recovery after surgery (ERAS). METHODS A retrospective cohort study was conducted in which 100 patients who underwent thoracoscopic lung cancer surgery from January 2020 to February 2021 in the Department of Thoracic Surgery of the First Affiliated Hospital of Soochow University were included and divided into non-intubation group (n = 50) and intubation group (n = 50). The primary outcome was the comparison of intra- and postoperative parameters. Secondary outcomes included inflammatory response indicators and intra- and postoperative complications. RESULTS There was no significant difference between the two groups in anesthesia effect score, blood loss, lowest pulse oxygen saturation, operation time, postoperative chest tube indwelling time (P > 0.05). Non-intubation group had less intraoperative remifentanil dosage, less change of blood pressure and heart rate, lower postoperative pain numerical score(NRS), less medical costs, smaller incidence rate of throat discomfort (P
- Subjects :
- medicine.medical_specialty
Lung Neoplasms
medicine.medical_treatment
Remifentanil
medicine
Intubation
Humans
Anesthesia
Lung cancer
Retrospective Studies
Lung cancer surgery
business.industry
Thoracoscopy
Retrospective cohort study
General Medicine
Length of Stay
medicine.disease
Surgery
Anti-Bacterial Agents
Chest tube
Blood pressure
C-Reactive Protein
Oncology
Cardiothoracic surgery
business
Enhanced Recovery After Surgery
medicine.drug
Subjects
Details
- ISSN :
- 17437563
- Volume :
- 18
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Asia-Pacific journal of clinical oncologyREFERENCES
- Accession number :
- edsair.doi.dedup.....5e73c9a5bfcdbbde0be73a424e500860