ISSN 1305-5550 | e-ISSN 2548-0669
Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi [GKD Anest Yoğ Bak Dern Derg]
GKD Anest Yoğ Bak Dern Derg. 2023; 29(3): 123-132 | DOI: 10.14744/GKDAD.2023.35761

Nonintubated Anesthesia in Video-assisted Thoracoscopic Surgery

Ali Sait Kavaklı
Department of Anesthesiology and Reanimation, İstinye University Faculty of Medicine, İstanbul, Türkiye

The standard anesthesia method in intubated patients during thoracoscopic surgery is one-lung ventilation (OLV). Accumulated experience in video-assisted thoracoscopic surgery (VATS) has remarkably advanced minimally invasive techniques in thoracic surgeries, a progress that has prompted anesthesiologists to pursue different and alternative methods. The desire to avoid possible general anesthesia side effects, such as intubation-related airway trauma, mechanical ventilation-induced lung damage, residual neuromuscular blockade, and postoperative nausea and vomiting, has led to the introduction of nonintubated anesthesia techniques as an alternative anesthesia method in thoracic surgery. Nonintubated techniques are established to preserve the patient’s spontaneous breathing during iatrogenic pneumothorax created by the surgeon during VATS and the atelectasis on the side to be operated on, providing sufficient surgical field of view and allowing successful completion of the surgery. Although this does not compete with continuing traditional thoracic anesthesia, in the future, nonintubated techniques will gain greater acceptance for VATS with appropriate patient selection and increased experience. This article reviews nonintubated anesthesia techniques used in VATS, including their advantages, disadvantages, appropriate patient selection, and complications.

Keywords: Anesthesia, non-intubated, video-assisted thoracoscopic surgery

Ali Sait Kavaklı. Nonintubated Anesthesia in Video-assisted Thoracoscopic Surgery. GKD Anest Yoğ Bak Dern Derg. 2023; 29(3): 123-132

Sorumlu Yazar: Ali Sait Kavaklı, Türkiye
Makale Dili: İngilizce
LookUs & Online Makale