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- W4313249957 abstract "Abstract Background The interest in non-intubated video-assisted thoracic surgery (NIVATS) has risen over the last decade and numerous terms have been used to describe this technique. They all have in common, that the surgical procedure is performed in a spontaneously breathing patient under locoregional anaesthesia in combination with intravenous sedation but have also been performed on awake patients without sedation. Evidence has been generated favouring NIVATS compared to one-lung-ventilation under general anaesthesia. Main body We want to give an overview of how NIVATS is performed, and which different techniques are possible. We discuss advantages such as shorter length of hospital stay or (relative) contraindications like airway difficulties. Technical aspects, for instance intraoperative handling of the vagus nerve, are considered from a thoracic surgeon’s point of view. Furthermore, special attention is paid to the cohort of patients with interstitial lung diseases, who seem to benefit from NIVATS due to the avoidance of positive pressure ventilation. Whenever a new technique is introduced, it must prove noninferiority to the state of the art. Under this aspect current literature on NIVATS for lung cancer surgery has been reviewed. Conclusion NIVATS technique may safely be applied to minor, moderate, and major thoracic procedures and is appropriate for a selected group of patients, especially in interstitial lung disease. However, prospective studies are urgently needed." @default.
- W4313249957 created "2023-01-06" @default.
- W4313249957 creator A5006969715 @default.
- W4313249957 creator A5012882265 @default.
- W4313249957 creator A5053291675 @default.
- W4313249957 creator A5058552522 @default.
- W4313249957 creator A5065723195 @default.
- W4313249957 creator A5076234765 @default.
- W4313249957 date "2022-12-27" @default.
- W4313249957 modified "2023-10-18" @default.
- W4313249957 title "Thoracic surgery in the non-intubated spontaneously breathing patient" @default.
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