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Nonintubated–Awake Anesthesia for Uniportal Video-Assisted Thoracic Surgery Procedures

机译:无论是Uniportal视频辅助胸外科手术程序的无聊 - 醒来麻醉

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摘要

Nonintubated video-assisted thoracic surgery (VATS) strategies are gaining popularity. This review focuses on noninutbated VATS, and discusses advantages, indications, anesthetic techniques, and approaches to intraoperative crisis management. Advances in endoscopic, endovascular, and robotic techniques have expanded the range of surgical procedures that can be performed in a minimally invasive fashion. The nonintubated thoracoscopic approach has been adapted for use with major lung resections. The need for general anesthesia and endotracheal intubation has been reexamined, such that regional or epidural analgesia may be sufficient for cases where lung collapse can be accomplished with spontaneous ventilation and an open hemithorax.
机译:非插管电视胸腔镜手术(VATS)策略越来越流行。本文综述了无创VAT的优点、适应证、麻醉技术和术中危机管理方法。内窥镜、血管内和机器人技术的进步扩大了可以以微创方式进行的外科手术的范围。非插管胸腔镜手术已经被用于主要的肺切除术。对全身麻醉和气管内插管的需求已被重新审视,因此局部或硬膜外镇痛可能足以用于通过自主通气和开放性半胸实现肺衰竭的病例。

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