Application of Non-intubated Anesthesia in VATS
10.3779/j.issn.1009-3419.2016.05.09
- VernacularTitle:非气管插管在胸外科VATS中的应用
- Author:
DAI XIAOTAN
1
;
SONG PINGPING
;
ZHANG BAIJIANG
Author Information
1. 济南大学医学与生命科学院
- Keywords:
Video-assisted thoracic surgery;
Non-intubated anesthesia;
Minimally Invasive
- From:
Chinese Journal of Lung Cancer
2016;19(5):312-316
- CountryChina
- Language:Chinese
-
Abstract:
Tracheal intubation general anesthesia technique is widely used in video-assisted thoracic surgery (VATS) because it can improve the safety of VATS, but the complications of tracheal intubation can not be avoided. How to develop a "minimally invasive" surgery (including micro anesthesia) has become a hot topic in the ifeld of minimally invasive surgery. Along with the progress of the anesthesia management technology and the risk management in the operation, the technology of non-intubated anesthesia was successfully applied to VATS, namely using local anesthesia to maintain patients intraoperative independent ventilation and intraoperative only mild sedation or fully conscious state of implementation of thoracoscope sur-gery, therefore is also called awake VATS. hTe anesthesia method not only reduces the anesthesia injury of tracheal intubation, but also conforms to the idea of rapid rehabilitation surgery. Based on non-intubated anesthesia in VATS in the brief history of development, the anesthesia selection, operation advantages and risks are reviewed in this paper.
