Non-intubated anesthesia in thoracic surgery-technical issues

Gabor Kiss, Maria Castillo

Research output: Contribution to journalReview articlepeer-review

32 Scopus citations


Performing awake thoracic surgery (ATS) is technically more challenging than thoracic surgery under general anesthesia (GA), but it can result in a greater benefit for the patient. Local wound infiltration and lidocaine administration in the pleural space can be considered for ATS. More invasive techniques are local wound infiltration with wound catheter insertion, thoracic wall blocks, selective intercostal nerve blockade, thoracic paravertebral blockade and thoracic epidural analgesia, offering the advantage of a catheter placement which can also be continued for postoperative analgesia.

Original languageEnglish
Article number109
JournalAnnals of Translational Medicine
Issue number8
StatePublished - May 2015


  • Awake thoracic surgery (ATS)
  • Awake video-assisted thoracoscopic surgery
  • Serratus anterior plane block
  • Thoracic epidural anesthesia (TEA)
  • Thoracic paravertebral blockade


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