Universität zu Köln

Defosse, Jerome Michel, Wappler, Frank and Schieren, Marc (2022). Anaesthetic Management of Non-intubated Video-assisted Thoracic Surgery. Anasthesiol. Intensivmed. NotfMed. Schmerzther., 57 (6). S. 405 - 417. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1439-1074

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Abstract

Non-intubated thoracic surgery is currently gaining popularity. In select patients and in experienced centres, non-intubated approaches may enable patients to safely undergo thoracic surgical procedures, who would otherwise be considered at high risk from general anaesthesia. While non-intubated techniques have been widely adopted for minor surgical procedures, its role in major thoracic surgery is a topic of controversial debate. This article discusses disadvantages of intubated anaesthetic approaches and advantages of non-intubated thoracic surgery as well as the anaesthetic management. This includes surgical and anaesthetic criteria for patient selection, suitable regional anaesthetic techniques, concepts for sedation and maintenance of airway patency as well as the management of perioperative complications. Non-intubated thoracic surgery has the potential to reduce postoperative morbidity and hospital length of stay. Successful non-intubated management depends on a standardised and well-trained interdisciplinary approach, especially regarding patient selection and perioperative complications.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Defosse, Jerome Michel UNSPECIFIED UNSPECIFIED UNSPECIFIED Wappler, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Schieren, Marc UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-681205
DOI:	10.1055/a-1497-9883
Journal or Publication Title:	Anasthesiol. Intensivmed. NotfMed. Schmerzther.
Volume:	57
Number:	6
Page Range:	S. 405 - 417
Date:	2022
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1439-1074
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language POSTOPERATIVE PULMONARY COMPLICATIONS; INTERCOSTAL NERVE BLOCK; ONE-LUNG VENTILATION; RESECTION; BUPIVACAINE; INJURIES Multiple languages Anesthesiology; Critical Care Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/68120