ArticleKorean journal of anesthesiology2017
Non-intubated thoracoscopic surgery for decortication of empyema under thoracic epidural anesthesia: a case report.
Article in Korean journal of anesthesiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed.
- Complication and cost analysis of transbronchial lung cryobiopsy and awake video-assisted thoracic surgery in diagnosis of interstitial lung disease.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2022Article
- The effect of different depths of anesthesia monitored using Narcotrend on cognitive function in elderly patients after VATS lobectomy.American journal of translational research · 2021Article
- Effect of epidural block anesthesia combined with general anesthesia on postoperative cognitive ability of elderly patients undergoing thoracoscopic surgery.International journal of clinical and experimental pathology · 2020Review
- Alternative anesthetic management of video-assisted thoracic surgery for spontaneous breathing.Korean journal of anesthesiology · 2019Article
- Uniportal non-intubated thoracic surgery.Journal of visualized surgery · 2018Article
- Factors to bear in mind regarding the use of dexmedetomidine.Korean journal of anesthesiology · 2017Article
- Non-intubated thoracic surgery under thoracic epidural anesthesia.Korean journal of anesthesiology · 2017Article
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Abstract
General anesthesia is the main strategy for almost all thoracic surgeries. However, a growing body of literature has reported successful cases of non-intubated thoracic surgery with regional anesthesia. This alternative strategy not only prevents complications related to general anesthesia, such as lung injury, incomplete re-expansion and intubation related problems, but also accords with trends of shorter hospital stay and lower overall costs. We experienced a successful case of non-intubated thoracoscopic decortication for a 68-year-old man who was diagnosed as empyema while the patient kept spontaneously breathing with moderate sedation under thoracic epidural anesthesia. The patient showed a fast recovery without concerns of general anesthesia related complications and effective postoperative analgesia through thoracic epidural patient-controlled analgesia device. This is the first report of non-intubated thoracoscopic surgery under thoracic epidural anesthesia in Korea, and we expect that various well designed prospective studies will warrant the improvement of outcomes in non-intubated thoracoscopic surgery.
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