ReviewRespiratory research2022
Thoracic surgery in the non-intubated spontaneously breathing patient.
Review in Respiratory research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Long-term oncologic outcomes after non-intubated versus intubated video-assisted thoracoscopic surgery for non-small cell lung cancer: a systematic review and meta-analysis.Frontiers in oncology · 2026Pooled it
- Comparison of postoperative pulmonary complications and intraoperative safety in thoracoscopic surgery under non-intubated versus intubated anesthesia: a randomized, controlled, double-blind non-inferiority trial.Updates in surgery · 2024Trial
- Effects of non-intubated anesthesia on postoperative pulmonary complications after thoracoscopic segmentectomy: a propensity score-matched analysis.Annals of medicine · 2026Article
- Review
- Clinical Use of Endotracheal Intubation Without Neuromuscular Blockade: The Current Stage of Knowledge.Medical science monitor : international medical journal of experimental and clinical research · 2026Review
- Bibliometric and visualization analysis of non-intubated thoracic anaesthesia [2014-2025].Journal of thoracic disease · 2026Article
- Tubeless uniportal VATS in thoracic surgery - Indications, ERAS pathways, and outcomes: A review.Biomolecules & biomedicine · 2026Review
- Research Trends in Pain Management After Thoracoscopic Surgery (2015-2024): A Bibliometric Analysis.Pain research & management · 2026Article
- A case report of primary hyperparathyroidism due to a giant substernal parathyroid adenoma managed using a neck incision approach.Medicine · 2025Article
- Application of tubeless anesthesia for enhanced recovery after thoracoscopic wedge resection of the lung: a randomized trial.Journal of thoracic disease · 2025Article
- From tradition to transformation: evolving paradigms in surgical lung cancer treatment.Translational lung cancer research · 2025Article
- Emergency thoracoscopic exploration under nonintubated general anesthesia preserved spontaneous ventilation after bilateral lung transplantation: a rare case report.BMC anesthesiology · 2025Article
- McKeown minimally invasive esophagectomy under discontinuous spontaneous ventilating anesthesia by laryngeal mask: a retrospective non-inferiority cohort study.Journal of thoracic disease · 2025Article
- Physiological pattern differences in non-intubatedJournal of thoracic disease · 2025Article
- Observational
- Awake thoracoscopic non-anatomic pulmonary resections under thoracic paravertebral block: Results of a tertiary referral centre.Journal of minimal access surgery · 2025Article
- Advances in the use of non-intubated spontaneous-ventilation video-assisted thoracoscopic surgery.Frontiers in surgery · 2025Review
- Early postoperative patient-reported outcomes in thoracoscopic segmentectomy: a comparative study of non-intubated anesthesia versus intubated general anesthesia.Frontiers in oncology · 2025Article
- Uniportal Robotic-Assisted Tracheal Resection and Reconstruction Under Spontaneous Ventilation.Case reports in anesthesiology · 2025Article
- Spontaneous ventilation video-assisted thoracoscopic surgery for octogenarian non-small cell lung cancer patients: a non-inferiority study.Translational lung cancer research · 2024Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe interest in non-intubated video-assisted thoracic surgery (NIVATS) has risen over the last decade and numerous terms have been used to describe this technique. They all have in common, that the surgical procedure is performed in a spontaneously breathing patient under locoregional anaesthesia in combination with intravenous sedation but have also been performed on awake patients without sedation. Evidence has been generated favouring NIVATS compared to one-lung-ventilation under general anaesthesia. MAIN BODY: We want to give an overview of how NIVATS is performed, and which different techniques are possible. We discuss advantages such as shorter length of hospital stay or (relative) contraindications like airway difficulties. Technical aspects, for instance intraoperative handling of the vagus nerve, are considered from a thoracic surgeon's point of view. Furthermore, special attention is paid to the cohort of patients with interstitial lung diseases, who seem to benefit from NIVATS due to the avoidance of positive pressure ventilation. Whenever a new technique is introduced, it must prove noninferiority to the state of the art. Under this aspect current literature on NIVATS for lung cancer surgery has been reviewed.
conclusionNIVATS technique may safely be applied to minor, moderate, and major thoracic procedures and is appropriate for a selected group of patients, especially in interstitial lung disease. However, prospective studies are urgently needed.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.