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Review
. 2014 Jan;6(1):10-3.
doi: 10.3978/j.issn.2072-1439.2014.01.03.

Anesthetic consideration for nonintubated VATS

Jen-Ting Yang  1 , Ming-Hui Hung  2 , Jin-Shing Chen  3 , Ya-Jung Cheng  1
Affiliations
Review

Anesthetic consideration for nonintubated VATS

Jen-Ting Yang et al. J Thorac Dis. 2014 Jan.

Abstract

In the recent decade, nonintubated-intubated video-assisted thoracoscopic surgery (VATS) has been extensively performed and evaluated. The indicated surgical procedures and suitable patient groups are steadily increasing. Perioperative anesthetic management presents itself as a fresh issue for the iatrogenic open pneumothorax, which is intended for unilateral lung collapse to create a steady surgical field, and the ensuing physiologic derangement involving ventilatory and hemodynamic perspectives. With appropriate monitoring, meticulous employment of regional anesthesia, sedation, vagal block, and ventilatory support, nonintubated VATS is proved to be a safe alternative to the conventional intubated general anesthesia.

Keywords: Anesthesia; bispectral index; intercostal nerve block; nonintubated; thoracic epidural anesthesia (TEA); thoracoscopy.

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