Non-intubated thoracoscopic surgery for decortication of empyema under thoracic epidural anesthesia: a case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 341-344, 2017.
Article
in English
| WPRIM
| ID: wpr-158004
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Respiration
/
Thoracic Surgery
/
Thoracoscopy
/
Prospective Studies
/
Conscious Sedation
/
Analgesia, Patient-Controlled
/
Empyema
/
Lung Injury
/
Analgesia
/
Intubation
Type of study:
Observational study
Limits:
Aged
/
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2017
Type:
Article
Similar
MEDLINE
...
LILACS
LIS