Geda Klimavičiūtė, Renata Paškevičiūtė, Vidas Jankus, Aleksandras Bagajevas
Abstract
In the recent decade, nonintubated video-assisted thoracoscopicsurgery (VATS) has been extensively performed and evaluated.Perioperative anaesthetic management presents itself as a freshissue for the iatrogenic open pneumothorax, which is intended forunilateral lung collapse to create a steady surgical field, and theensuing physiologic derangement involving ventilatory and hemodynamicperspectives. With appropriate monitoring, meticulousemployment of regional anaesthesia, sedation nonintubated VATS isproved to be a safe alternative to the conventional intubated generalanaesthesia. High-risk patients for intubated general anaesthesia aregood candidates for this minimally invasive approach.
Keyword(s): anaesthesia, nonintubated awake anaesthesia, video-assisted thoracoscopic surgery
DOI: 10.5200/sm-hs.2014.101
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