Anästhesie bei nicht intubierter videoassistierter Thoraxchirurgie (NiVATS)

Defosse, Jérôme; Wappler, Frank; Schieren, Marc

doi:10.1055/a-1497-9883

Cited by 2 publications

(1 citation statement)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With the introduction of the epidural catheter in the field of anaesthesia, developments in thoracoscopic surgery have encouraged the discussion of methods without invasive monitoring (central venous, blood pressure, urinary catheter) and general anaesthesia [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Current overview of awake, non-intubated, video-assisted thoracic surgery.

Yanık¹

2023

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

Awake video-assisted thoracoscopic surgery (A-VATS) enables the surgeon to penetrate the tissue via a small incision and with less contact between the lung and atmospheric pressure; postoperative respiratory functions are also less affected than in open surgery. A-VATS is a safer technique than traditional VATS and non-intubated video-assisted thoracoscopic surgery (NI-VATS) because it does not require muscle relaxants and sedoanalgesics. In particular, diagnostic VATS for pleural effusions can be easily performed over a single port using only local anaesthetic. Anaesthesia-related risks increase even more for elderly patients and those with severe comorbidities. Although there are long and risky operations in thoracic surgery, general anaesthesia is not required for some thoracic surgery procedures. However, A-VATS is limited to minor procedures. Due to regional anaesthesia and sedation, NI-VATS is a safe and effective method for many indications. The results show that this method can be applied with low mortality and morbidity.

show abstract

Section: Introductionmentioning

confidence: 99%