Abstract

During the past 20 years, video-assisted thoracoscopic surgery (VATS) has been an important minimally invasive tool. In order to further reduce its invasiveness, non-intubated spontaneous breathing general anesthesia via a laryngeal mask (LMA) was used in a variety of thoracic procedures. The objective of this study is to evaluate the safety and feasibility of this advantageous technique.

Highlights

  • Background/Introduction During the past 20 years, video-assisted thoracoscopic surgery (VATS) has been an important minimally invasive tool

  • Aims/Objectives From March 2013 till 23 patients with lung or pleural disease were managed by VATS under spontaneous breathing general anesthesia with laryngeal mask (LMA) without using muscle relaxants

  • Patients 2 4 4 3 2 8 manipulation of lung parenchyma is allowed preventing from cough, pain, or panic attack described for awake epidural anesthesia, as well as avoiding the risks of tracheal intubation and mechanical ventilation

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Summary

Open Access

Premjithlal Bhaskaran1,2*, Antonios Katsipoulakis, Francesca Caliandro, Niall McGonigle, Nikolaos Anastasiou. From World Society of Cardiothoracic Surgeons 25th Anniversary Congress, Edinburgh Edinburgh, UK. Background/Introduction During the past 20 years, video-assisted thoracoscopic surgery (VATS) has been an important minimally invasive tool. In order to further reduce its invasiveness, non-intubated spontaneous breathing general anesthesia via a laryngeal mask (LMA) was used in a variety of thoracic procedures. The objective of this study is to evaluate the safety and feasibility of this advantageous technique. Aims/Objectives From March 2013 till 23 patients with lung or pleural disease were managed by VATS under spontaneous breathing general anesthesia with LMA without using muscle relaxants

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