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Introduction: VATS has been an important minimally invasive tool in the hands of experienced surgeons.On a natural progress anaesthetic support has evolved and become equally less invasive. Objective: To investigate the efficacy and safety of non intubated spontaneous breathing general anaesthesia via LMA in VATS procedures. Materials and Methods: …
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Local anesthesia with 2% lidocaine at the skin incision and intercostal and vagus nerve blockades were induced using 0.5% bupivacaine. For conversion with surgical indications a thoracotomy was performed at the incision without additional local or general anesthetics.
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Dec 01 2014· Nonintubated thoracic surgery has been used in procedures including pleura lungs and mediastinum. Appropriate anesthesia techniques with or without sedation allow thoracic surgery patients to avoid the potential risks of intubated general anesthesia particularly for the high-risk patients.
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Aug 16 2020· Nonintubated anesthesia is feasible and might be associated with shorter surgery time and shorter hospitalization for tracheal/carinal resection and reconstruction. Only case reports and a few small retrospective series study were conducted to evaluate nonintubated anesthesia for tracheal/carinal resection and reconstruction; no randomized …
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Apr 21 2015· Four years later Vischnevski from Russia reported a series of more than 600 thoracic surgery procedures under local anesthetic techniques . In the last decade more papers have stressed the advantages of awake thoracic surgery (ATS) compared to thoracic surgery under general anesthesia (GA).
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Mineo TC Tamburrini A Perroni G et al. 1000 cases of tubeless video-assisted thoracic surgery at the Rome Tor Vergata University. Future Oncol 2016;12:13-8. Liu YJ Hung MH Hsu HH et al. Effects on respiration of nonintubated anesthesia in thoracoscopic surgery under spontaneous ventilation. Ann Transl Med 2015;3:107.
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ade. The comparisons of perioperative outcomes of nonintubated thoracoscopic lobectomy using epidural anesthesia and intercostal blockade are not reported previously. From September 2009 to August 2014 a total of 238 patients with lung cancer who underwent nonintubated thoracoscopic lobectomy were recruited from our prospectively maintained database of all …
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Abstract: Surgical treatment for lung cancer including airway resection following reconstruction is typically performed under general anesthesia with single-lung ventilation because it is necessary to maintain a sufficient working space and to adjust the airway pressure for the leak test. However non-intubated thoracic surgery has been gradually developed in recent years for …
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ObjectiveDuring the past 20 years the use of video-assisted thoracoscopic surgery has increased as an important minimally invasive tool. To further reduce its invasiveness after a preliminary exp
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Kiss G Castillo M. Nonintubated anesthesia in thoracic surgery: general issues. Ann Transl Med 2015;3:110. Nezu K Kushibe K Tojo T et al. Thoracoscopic wedge resection of blebs under local anesthesia with sedation for treatment of a spontaneous pneumothorax. Chest 1997;111:230-5.
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6. Cleaning the Anesthesia Work Space a. Wear gown surgical mask and eye protection (droplet precautions) Exceptions for Aero-Digestive or Thoracic Surgery The above practices apply for patients who do not have confirmed or suspected COVID-19 and who are having aero-digestive or thoracic surgery with the following exceptions: 1.
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May 01 2015· Nonintubated anesthesia in thoracic surgery: general issues. Gabor Kiss 1 Department of Cardiovascular and Thoracic Surgery Anaesthesia and Surgical Intensive Care University Hospital of Lille Lille France ; 2 Department of Anesthesiology Icahn School of Medicine Mount Sinai Medical Center New York USA.
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Nov 11 2018· Background. Thoracic anesthesia under spontaneous ventilation is not a recent innovation. Awake thoracic surgery was first proposed to be performed under thoracic epidural anesthesia in 1950 by Buckingham [].A few years later Vischnevski performed major lung resections and even esophagectomies under a multistep local analgesia [].Non-intubated …
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Investigated issues included previous experience with NITS and number of procedures performed preferred types of anesthesia protocols (i.e. thoracic epidural anesthesia intercostal or paravertebral blocks laryngeal mask use of additional sedation) type of procedures ideal candidates for NITS main advantages and technical disadvantages.
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ObjectiveDuring the past 20 years the use of video-assisted thoracoscopic surgery has increased as an important minimally invasive tool. To further reduce its invasiveness after a preliminary exp
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Aug 16 2020· Nonintubated thoracic surgery (NITS) has a good safety record in experienced hands but has pitfalls for beginners. The main aim of NITS is to keep the patient under spontaneous respiration avoiding adverse effects such as hypoxemia hypercapnia panic attacks and finally conversion to general anesthesia. In this paper the safety aspects of …
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Dec 01 2014· According to recent evidence and experience several thoracic surgery procedures have been proved suitable for nonintubated anesthesia such as pleural/pericardial effusion empyema thoracis bullous emphysema non-resectional lung volume reduction surgery spontaneous pneumothorax biopsy of interstitial lung disease wedge resection of lung …
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Aug 05 2014· Thoracic Surgery Division Research Unit on Non-General Anesthesia in Thoracic Surgery Tor Vergata University Viale Oxford 81 Floor 7 th 00133 Rome Italy. Email: [email protected] . Submitted Aug 05 2014.
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Oct 11 2019· Irons J Martinez G. Anaesthetic considerations for non-intubated thoracic surgery. J Vis Surg. 2016;2:61. PubMed PubMed Central Google Scholar 24. Kiss G Castillo M. Non-intubated anesthesia in thoracic surgery-technical issues. Ann Transl Med. 2015;3:109.
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Awake thoracic surgery fell into disuse until recent years when thanks to the better knowledge of potential adverse effects of general anesthesia some surgeons again started to …
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