ArticleBMC anesthesiology2025
Emergency thoracoscopic exploration under nonintubated general anesthesia preserved spontaneous ventilation after bilateral lung transplantation: a rare case report.
Article in BMC anesthesiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundThe dilemma of selecting an anesthesia method for a lung transplant patient requiring sudden emergency thoracoscopic surgery is not well-documented in medical literature, leaving a gap in clinical guidance. CASE PRESENTATION: We present a case of a 40-year-old, 12 days post lung transplant, facing a thoracoscopic exploration due to suspected intrathoracic hemorrhage. The anesthesiologist had to carefully consider pulmonary function, the risk of airway complications, and anesthesia options. We successfully employed a non-intubation technique, maintaining spontaneous breathing for general anesthesia, which led to significant postoperative improvements and a rapid recovery.
conclusionour experience indicates that non-intubated general anesthesia, preserving spontaneous breathing, is a viable and safe method for thoracoscopic surgery in the early post-transplant period, offering a promising alternative to traditional approaches.
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