Traditionally, intubated general anesthesia with one-lung ventilation was considered necessary for video-assisted thoracoscopic surgery (VATS). However, thanks to the advances in minimally invasive techniques, the non-intubated anesthesia approach has been adapted for use with thoracic surgery. An adequate analgesia obtained from regional anesthesia techniques allows VATS to be performed in sedated patients and the potential adverse effects related to general anesthesia and selective ventilation can be avoided.
The non-intubated procedures try to minimize the adverse effects of tracheal intubation and general anesthesia, such as intubation-related airway trauma, ventilation-induced lung injury, residual neuromuscular blockade, and postoperative nausea and vomiting. Furthermore, patients may also benefit from the efficient contraction of the dependent hemidiaphragm and preserved hypoxic pulmonary vasoconstriction during surgically induced pneumothorax in spontaneous ventilation.
Surgical techniques and various regional anesthesia techniques as well as indications, contraindications, criteria to conversion of sedation to general anesthesia in non-intubated patients are needed to be explored and discussed.
This Research Topic accepts reviews, original article and Case reports.
Traditionally, intubated general anesthesia with one-lung ventilation was considered necessary for video-assisted thoracoscopic surgery (VATS). However, thanks to the advances in minimally invasive techniques, the non-intubated anesthesia approach has been adapted for use with thoracic surgery. An adequate analgesia obtained from regional anesthesia techniques allows VATS to be performed in sedated patients and the potential adverse effects related to general anesthesia and selective ventilation can be avoided.
The non-intubated procedures try to minimize the adverse effects of tracheal intubation and general anesthesia, such as intubation-related airway trauma, ventilation-induced lung injury, residual neuromuscular blockade, and postoperative nausea and vomiting. Furthermore, patients may also benefit from the efficient contraction of the dependent hemidiaphragm and preserved hypoxic pulmonary vasoconstriction during surgically induced pneumothorax in spontaneous ventilation.
Surgical techniques and various regional anesthesia techniques as well as indications, contraindications, criteria to conversion of sedation to general anesthesia in non-intubated patients are needed to be explored and discussed.
This Research Topic accepts reviews, original article and Case reports.
