Title |
Non-intubated thoracoscopic surgery for decortication of empyema under thoracic epidural anesthesia: a case report
|
---|---|
Published in |
Korean Journal of Anesthesiology, November 2016
|
DOI | 10.4097/kjae.2017.70.3.341 |
Pubmed ID | |
Authors |
Eun-Jin Moon, Yoon-Ju Go, Jun-Young Chung, Jae-Woo Yi |
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. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 8 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 2 | 25% |
Student > Bachelor | 1 | 13% |
Student > Master | 1 | 13% |
Unknown | 4 | 50% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 2 | 25% |
Nursing and Health Professions | 2 | 25% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 13% |
Unknown | 3 | 38% |