Abstract
With the emergence of video-assisted thoracic surgery and more recently, thoracic surgery performed through a single incision (uniportal video-assisted thoracoscopic surgery) we have witnessed a move towards less aggressive thoracic procedures which lead us to search for minimally invasive surgical approaches and more secure anaesthesic strategies, always trying to decrease secondary injuries. However, anaesthesiologists should not believe that this necessarily implies safer or more simple procedures. In fact, anaesthesia for video-assisted thoracic surgery, requires the same level of monitoring and security than conventional open surgeries.
Success resides not only in a sophisticated surgical technique but also in an adequate anaesthetic management which includes a correct selection of the patients, a suitable and personalized patient monitoring, a safe airway management, and an efficient postoperative analgesia strategy.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Shaw JP, Dembitzer FR, Wisnivesky JP, Litle VR, Weiser TS, Yun J, et al. Video-assisted thoracoscopic lobectomy: state of the art and future directions. Ann Thorac Surg. 2008;85(2):S705–9.
Gónzalez-Rivas D, Aymerich H, Bonome C, Fieira E. From open operations to nonintubated video-assisted thoracoscopic lobectomy: minimizing the trauma to the patient. Ann Thorac Surg. 2015;100(6):2003–5.
Matsuguma H, Nakahara R, Anraku M, Kondo T, Tsuura Y, Kamiyama Y, et al. Objective definition and measurement method of ground-glass opacity for planning limited resection in patients with clinical stage IA adenocarcinoma of the lung. Eur J Cardiothorac Surg. 2004;25:1102–6.
Gothard J. Lung injury after thoracic surgery and one-lung ventilation. Curr Opin Anaesthesiol. 2006;19(1):5–10.
Brassard C, Lohser J, Donati F, Bussières J. Step-by-step clinical management of one-lung ventilation: continuing professional development. Can J Anesth. 2014;61:1103–21.
Nagendran J, Stewart K, Hoskinson M, Archer SL. An anesthesiologist’s guide to hypoxic pulmonary vasoconstriction: implications for managing single-lung anesthesia and atelectasis. Curr Opin Anaesthesiol. 2006;19(1):34–43.
Hausman MS Jr, Jewell ES, Engoren M. Regional versus general anesthesia in surgical patients with chronic obstructive pulmonary disease: does avoiding general anesthesia reduce the risk of postoperative complications? Anesth Analg. 2014;120(6):1405–12.
Katlic MR, Facktor MA. Video-assisted thoracic surgery utilizing local anesthesia and sedation: 384 consecutive cases. Ann Thorac Surg. 2010;90(1):240–5.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Alvarado, S., Bonome, C., Gonzalez-Rivas, D. (2019). Anaesthesia for Uniportal VATS. In: Gonzalez-Rivas, D., Ng, C., Rocco, G., D’Amico, T. (eds) Atlas of Uniportal Video Assisted Thoracic Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-13-2604-2_4
Download citation
DOI: https://doi.org/10.1007/978-981-13-2604-2_4
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-13-2603-5
Online ISBN: 978-981-13-2604-2
eBook Packages: MedicineMedicine (R0)