Anesthetic consideration for nonintubated VATS.
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.
Department of Anesthesiologyy, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
Jen-Ting
JT
Yang
Department of Anesthesiologyy, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan ; Graduate Institute of Clinical Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
Ming-Hui
MH
Hung
Division of Thoracic Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan ; Division of Experimental Surgery, Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
Jin-Shing
JS
Chen
Department of Anesthesiologyy, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.
Ya-Jung
YJ
Cheng
Anesthesia; bispectral index; intercostal nerve block; nonintubated; thoracic epidural anesthesia (TEA); thoracoscopy