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Keimyung Medical Journal 2019;38(1-2):39-44.
Published online December 15, 2019.
Comparison of Outcomes between Intubated and Non-intubated Video-assisted Thoracoscopic Wedge Resections Applied in the Same Patient.
Ilsang Han, A Ran Lee, Soon Eun Park, Hyung Kwan Lee, Eun Sun Park
Department of Anesthesiology and Pain Medicine, Ulsan University Hospital, Ulsan, Korea. 0732850@uuh.ulsan.kr
Abstract
In video-assisted thoracoscopic surgery (VATS), general anesthesia with endotracheal intubation was considered an optimal method of anesthesia for a long time. However, complications due to general anesthesia and one-lung ventilation have become a problem. In recent years, epidural anesthesia without endotracheal intubation has been attempted in various thoracic surgical procedures with various advantages and disadvantages reported. We compared postoperative pain and prognosis when different anesthesia methods were used in a patient who underwent the same operation twice in the interval of one year. When non-intubated video-assisted thoracoscopic surgery (NIVATS) underwent under epidural anesthesia, postoperative pain score was lower, adverse events were fewer, and the hospital stay was shorter than that of VATS. The patient also expressed high subjective satisfaction. Like previous studies, the results favored NIVATS under epidural anesthesia. However, greater attention and proficiency are required from the anesthesiologist for proper analgesia and sedation.
Key Words: Epidural anesthesia, Intubation, Non-intubated thoracoscopic surgery, Video assisted thoracoscopic surgery
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