TY - JOUR
T1 - Non-intubated anesthesia in thoracic surgery-technical issues
AU - Kiss, Gabor
AU - Castillo, Maria
N1 - Publisher Copyright:
© Annals of Translational Medicine. All rights reserved.
PY - 2015/5
Y1 - 2015/5
N2 - 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.
AB - 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.
KW - Awake thoracic surgery (ATS)
KW - Awake video-assisted thoracoscopic surgery
KW - Serratus anterior plane block
KW - Thoracic epidural anesthesia (TEA)
KW - Thoracic paravertebral blockade
UR - http://www.scopus.com/inward/record.url?scp=85015479053&partnerID=8YFLogxK
U2 - 10.3978/j.issn.2305-5839.2015.05.01
DO - 10.3978/j.issn.2305-5839.2015.05.01
M3 - Review article
AN - SCOPUS:85015479053
SN - 2305-5839
VL - 3
JO - Annals of Translational Medicine
JF - Annals of Translational Medicine
IS - 8
M1 - 109
ER -