Non-intubated thoracoscopic surgery for decortication of empyema under thoracic epidural anesthesia: a case report.
10.4097/kjae.2017.70.3.341
- Author:
Eun Jin MOON
1
;
Yoon Ju GO
;
Jun Young CHUNG
;
Jae Woo YI
Author Information
1. Department of Anesthesiology and Pain Medicine, Kyung Hee University College of Medicine, Seoul, Korea. mdyjwchk@khu.ac.kr
- Publication Type:Case Report
- Keywords:
Non-intubated;
Thoracic epidural anesthesia;
Thoracoscopic surgery
- MeSH:
Aged;
Analgesia;
Analgesia, Patient-Controlled;
Anesthesia, Conduction;
Anesthesia, Epidural*;
Anesthesia, General;
Conscious Sedation;
Empyema*;
Humans;
Intubation;
Korea;
Length of Stay;
Lung Injury;
Prospective Studies;
Respiration;
Thoracic Surgery;
Thoracoscopy*
- From:Korean Journal of Anesthesiology
2017;70(3):341-344
- CountryRepublic of Korea
- Language:English
-
Abstract:
General anesthesia is the main strategy for almost all thoracic surgeries. However, a growing body of literature has reported successful cases of non-intubated thoracic surgery with regional anesthesia. This alternative strategy not only prevents complications related to general anesthesia, such as lung injury, incomplete re-expansion and intubation related problems, but also accords with trends of shorter hospital stay and lower overall costs. We experienced a successful case of non-intubated thoracoscopic decortication for a 68-year-old man who was diagnosed as empyema while the patient kept spontaneously breathing with moderate sedation under thoracic epidural anesthesia. The patient showed a fast recovery without concerns of general anesthesia related complications and effective postoperative analgesia through thoracic epidural patient-controlled analgesia device. This is the first report of non-intubated thoracoscopic surgery under thoracic epidural anesthesia in Korea, and we expect that various well designed prospective studies will warrant the improvement of outcomes in non-intubated thoracoscopic surgery.
