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Non-Intubated Video-Assisted Thoracoscopic Surgery
Non-Intubated Video-Assisted Thoracoscopic Surgery
JoVE Journal
Medicine
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JoVE Journal Medicine
Non-Intubated Video-Assisted Thoracoscopic Surgery

Non-Intubated Video-Assisted Thoracoscopic Surgery

1,315 Views

05:39 min

May 26, 2023

DOI:

05:39 min
May 26, 2023

14 Views
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Transcript

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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.

Summary

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Here, we present a non-intubated protocol for performing video-assisted thoracoscopic surgery with preserved autonomic breathing.

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