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. 2022 Jan 3;22(1):2.
doi: 10.1186/s12871-021-01514-3.

Italian survey on non-intubated thoracic surgery: results from INFINITY group

Giulio Luca Rosboch  1 , Federica Giunta  2 , Edoardo Ceraolo  1 , Federico Piccioni  3 , Francesco Guerrera  4 , Eleonora Balzani  5 , Alessandro Pardolesi  6 , Paolo Albino Ferrari  7 , Davide Tosi  8 , Marco Rispoli  9 , Giudo Di Gregorio  10 , Ruggero Massimo Corso  11 , Roberto Crisci  12
Affiliations

Italian survey on non-intubated thoracic surgery: results from INFINITY group

Giulio Luca Rosboch et al. BMC Anesthesiol. .

Abstract

Background: Non-Intubated Thoracic Surgery (NITS) is becoming increasingly adopted all over the world. Although it is mainly used for pleural operations,, non-intubated parenchymal lung surgery has been less frequently reported. Recently, NITS utilization seems to be increased also in Italy, albeit there are no multi-center studies confirming this finding. The objective of this survey is to assess quantitatively and qualitatively the performance of NITS in Italy.

Methods: In 2018 a web-based national survey on Non-Intubated management including both thoracic surgeons and anesthesiologists was carried out. Reference centers have been asked to answer 32 questions. Replies were collected from June 26 to November 31, 2019.

Results: We raised feedbacks from 95% (55/58) of Italian centers. Seventy-eight percent of the respondents perform NITS but only 38% of them used this strategy for parenchymal surgery. These procedures are more frequently carried out in patients with severe comorbidities and/or with poor lung function. Several issues as obesity, previous non-invasive ventilation and/or oxygen therapy are considered contraindications to NITS. The regional anesthesia technique most used to provide intra- and postoperative analgesia was the paravertebral block (37%). Conversion to general anesthesia is not anecdotal (31% of answerers). More than half of the centers believed that NITS may reduce postoperative intensive care unit admissions. Approximately a quarter of the centers are conducting trials on NITS and, three quarters of the respondent suppose that the number of these procedures will increase in the future.

Conclusions: There is a growing interest in Italy for NITS and this survey provides a clear view of the national management framework of these procedures.

Keywords: Non-intubated thoracic surgery; Survey; Video-assisted thoracic surgery.

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Conflict of interest statement

The authors certify that there is no conflict of interest with any financial organization regarding the material discussed in the manuscript.

Figures

Fig. 1
Fig. 1
Data distribution in Italy
Fig. 2
Fig. 2
parenchymal NITS (parenchymal Non-intubated Thoracic Surgery)/Center
See this image and copyright information in PMC

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