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05:39 min
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May 26, 2023
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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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Cite this Article
Bin, G., Wenjun, L., Yu, G., Zhipeng, X., Binbin, Z., Lina, Y. Non-Intubated Video-Assisted Thoracoscopic Surgery. J. Vis. Exp. (195), e65235, doi:10.3791/65235 (2023).
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