Anesthesia for Non-intubated Thoracic Surgery

Slinger, Peter

doi:10.1007/978-3-030-00859-8_25

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…OLV can be performed with either the intubation of the left or right mainstem bronchus (Slinger 2019). A diagram of right-sided versus left-sided double-lumen tubes can be seen in Figure 3.…”

Section: Ventilatory Modalitiesmentioning

confidence: 99%

The anaesthetic management of patients with thoracic ascending aortic aneurysms: A review

Silvay

Lurie

Casale

2020

Journal of Perioperative Practice

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Thoracic aortic aneurysms present significant challenges to clinicians, especially due to their complex nature and an evolving understanding of the safest and most effective ways to manage this condition in the perioperative setting. Thoracic aortic aneurysms have a prevalence rate of 1.3–8.9% in men and 1.0–2.2% in women, and they are estimated to affect more than five per 100,000 person-years. This is notable because the complications of thoracic aortic aneurysms can be catastrophic. The current understanding of the optimal intraoperative management of thoracic aortic aneurysms is changing, as more evidence becomes available regarding lung protective ventilation and its role in enhancing patient safety and wellbeing. This review strives to provide a brief historical understanding of thoracic aortic aneurysms and highlight some of the key discoveries and advances in the management of this condition. This review then describes an overview of the general anaesthetic principles associated with thoracic aortic aneurysms, including ventilatory modalities and how these impact a patient’s physiology and intraoperative haemodynamics. A brief discussion on one-lung ventilation is then provided, drawing from current literature in the field, to describe the most up-to-date management of thoracic aortic aneurysms.

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Section: Ventilatory Modalitiesmentioning

confidence: 99%

The anaesthetic management of patients with thoracic ascending aortic aneurysms: A review

Silvay

Lurie

Casale

2020

Journal of Perioperative Practice

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“…At the end of the 1800s, the first attempts of anesthesia in thoracic surgery were made by non-intubated patients with spontaneous breathing air-ether through a mask (1). With the development of pulmonary isolation techniques and mechanical ventilation, the intubated thoracic anesthesia became mainstream.…”

Section: Introductionmentioning

confidence: 99%

A risk score for predicting postoperative complications in non-intubated thoracic surgery

Lan¹,

Jiang²,

Duan³

et al. 2021

J Thorac Dis

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Background: The risk factors for postoperative complications in non-intubated video-assisted thoracoscopic surgery (VATS) have not been observed before. Here to develop a simple risk score to predict the risk of postoperative complications for patients who scheduling non-intubated VATS, which is beneficial to guide the clinical interventions. Methods: A total of 1,837 patients who underwent non-intubated VATS were included from January 2011 to December 2018. A development data set and a validation data set were allocated according to an approximate 3:2 ratio of total cases. The stepwise logistic regression was used to establish a risk score model, and the methods of bootstrap and split-sample were used for validation.Results: Multivariable analysis revealed that the forced expiratory volume in the first second in percent of predicted, the anesthesia method, blood loss, surgical time, and preoperative neutrophil ratio were risk factors for postoperative complications. The risk score was established with these 5 factors, varied from 0 to 53, with the corresponding predicted probability of postoperative complications occurrence ranged from 1% to 92% and was calibrated (Hosmer-Lemeshow χ 2 =6.261; P=0.618). Good discrimination was acquired in the development and validation data sets (C-statistic 0.705 and 0.700). A positive correlation was between the risk score and postoperative complications (P for trend <0.01). Three levels of low-risk (0-15 points], moderate-risk (15-30 points], and high-risk (>30 points] were established based on the score distribution of postoperative complications. Conclusions: This simple risk score model based on risk factors of postoperative complications can validly identify the high-risk patients with postoperative complications in the non-intubated VATS, and allow for early interventions.

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Anesthetic Considerations for a Patient with Carcinoma Lung Scheduled for Lobectomy or Pneumonectomy

Goneppanavar,

Kaur

2024

Problem Based Learning Discussions in Onco-Anesthesia and Onco-Critical Care

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Anesthesia for Non-intubated Thoracic Surgery

Cited by 3 publications

References 7 publications

The anaesthetic management of patients with thoracic ascending aortic aneurysms: A review

The anaesthetic management of patients with thoracic ascending aortic aneurysms: A review

A risk score for predicting postoperative complications in non-intubated thoracic surgery

Anesthetic Considerations for a Patient with Carcinoma Lung Scheduled for Lobectomy or Pneumonectomy

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