Non-Intubated Video-Assisted Thoracoscopic Surgery

Gao Bin; Luo Wenjun; Gui Yu; Xu Zhipeng; Zhu Binbin; Yu Lina

doi:10.3791/65235

Journal

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Medicine

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Non-Intubated Video-Assisted Thoracoscopic Surgery

JoVE Journal
Medicine

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JoVE Journal Medicine

Non-Intubated Video-Assisted Thoracoscopic Surgery

1,322 Views

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05:39 min

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May 26, 2023

DOI:

10.3791/65235-v

DOI:

10.3791/65235-v

•

05:39 min

May 26, 2023

•

14 Views

Gao Bin*^1,2, Luo Wenjun*³, Gui Yu², Xu Zhipeng², Zhu Binbin², Yu Lina¹

¹Department of Anesthesia,Second Affiliated Hospital of Zhejiang University School of Medicine, ²Department of Anesthesia,The First Affiliated Hospital of Ningbo University, ³Health Science Center,Ningbo University

Transcript

This research presents a step-by-step protocol detailing the execution of non-intubated video-assisted thoracoscopic surgery. The protocol of NIVATS is based on multimodal analgesia, including ultrasound-guided thoracic paravertebral blockade. A thoracoscopic make a block, and plural infiltration anesthesia.

Multimodal analgesia effectively relieves intraoperative pain and inhibits the cough reflex. This protocol provides a sevoflurane inhalation anesthesia regimen to reduce the cough reflex during thoracoscopic surgery, minimizes oversedation, while providing a safe and a pain-free operating environment for patients. We maintain the patient’s spontaneous breathing and minimize mediastinal oscillations during the procedure, while taking into account the associated aided technical challenges.