Non-intubated video-assisted thoracoscopy : a narrative review DOI

V.V. Ushakova,

Steve Coppens

Acta Anaesthesiologica Belgica, Journal Year: 2024, Volume and Issue: 75(Supplement 1), P. 125 - 136

Published: Dec. 1, 2024

Non-intubated video-assisted thoracoscopic surgery (NIVATS) is an emerging technique in thoracic that avoids the use of general anaesthesia and mechanical ventilation. The evolution from traditional VATS to NIVATS has shown significant potential reducing postoperative complications, shortening hospital stays, improving patient satisfaction. By allowing spontaneous breathing, minimizes invasiveness procedures reduces risks associated with tracheal intubation anaesthesia. A comprehensive literature search was conducted across multiple databases, including Cochrane Library, Embase, Medline (Ovid), PubMed, Scopus, focusing on studies published between 2013 2023. Keywords included terms related NIVATS, one-lung yielded 56 relevant selected for inclusion our review. This narrative review explores physiological aspects clinical implications induced by respiratory management surgery. It also examines equipment techniques lung isolation, emphasizing importance optimizing perioperative management. In conclusion, both offer advantages over open thoracotomy. particular, shows promise enhancing outcomes through reduced complications faster recovery. We present current protocol at University Hospitals Leuven, although further areneeded confirm these benefits refine protocols broader adoption.

Language: Английский

Continuous erector spinae plane block versus thoracic epidural analgesia in video-assisted thoracoscopic surgery: a prospective randomized open-label non-inferiority trial DOI
Renee van den Broek,

Jonne M C Postema,

J. S. H. A. Koopman

et al.

Regional Anesthesia & Pain Medicine, Journal Year: 2024, Volume and Issue: unknown, P. rapm - 105047

Published: Jan. 11, 2024

Background and objectives The evolving surgical techniques in thoracoscopic surgery necessitate the exploration of anesthesiological techniques. This study aimed to investigate whether incorporating a continuous erector spinae plane (ESP) block into multimodal analgesia regimen is non-inferior thoracic epidural (TEA) terms quality postoperative recovery for patients undergoing elective unilateral video-assisted surgery. Methods We conducted multicenter, prospective, randomized, open-label non-inferiority trial between July 2020 December 2022. Ninety were randomly assigned receive either ESP or TEA. primary outcome parameter was Quality Recovery-15 (QoR-15) score, measured before as baseline on days 0, 1, 2. Secondary parameters included pain scores, length hospital stay, morphine consumption, nausea vomiting, itching, speed mobilization, urinary catheterization. Results Analysis showed mean QoR-15 difference groups versus TEA 1 (95% CI −9 –12, p=0.79) day –1 −11 –8, p=0.81) −2 −14 –11, Conclusions Trial registration number Dutch Register (NL6433).

Language: Английский

Citations

8
Efficacy of Intravenous Administration of Esketamine in Preventing and Treating Rebound Pain After Thoracic Paravertebral Nerve Block: A Prospective Randomized, Double-Blind, Placebo-Controlled Trial DOI Creative Commons
Xu Zeng, Xianjie Zhang, Wencai Jiang

et al.

Drug Design Development and Therapy, Journal Year: 2024, Volume and Issue: Volume 18, P. 463 - 473

Published: Feb. 1, 2024

Purpose: Investigating the efficacy of intraoperative fractionated intravenous esketamine in prevention rebound pain after cessation thoracic paravertebral nerve blockade.Methods: One hundred and twenty patients who underwent elective thoracoscopic lobectomy were selected for study randomly divided into two groups, group was given 0.5 mg/kg 0.3 at induction anaesthesia 30 minutes before end operation, respectively, control an equal amount saline.The incidence (RP) 7 days surgery postoperative recovery compared between groups.Results: The NRS scores 24 48 hours postoperatively significantly lower than those (P < 0.05).The consumption sufentanil less 0.05).Postoperative groups difference not statistically significant.Conclusion: Intravenous reduces scores, decreases block, opioid consumption.

Language: Английский

Citations

5
Evidence summary on pain management in thoracoscopic lung cancer surgery DOI Creative Commons
Dongdong Wu,

Jianjuan Dai,

Yifan Sheng

et al.

Asia-Pacific Journal of Oncology Nursing, Journal Year: 2025, Volume and Issue: unknown, P. 100693 - 100693

Published: March 1, 2025

The study aimed to systematically retrieve, evaluate and summarize evidence on perioperative pain management in adults undergoing thoracoscopic lung cancer surgery, assist oncology nurses improving assessment management. research question was established using PIPOST model a systematic search conducted English Chinese databases, professional society websites guideline platforms for literature published between January 2017 December 2024. Included types comprised guidelines, reviews, summaries, expert consensus, standards. After searching screening 2025, the remaining guidelines were evaluated by four investigators, while other assessed two investigators. Evidence then extracted graded. Eighteen articles included, comprising 5 3 2 clinical decisions, 4 1 standard. Twenty-five pieces of across six topics summarized, covering organizational management, high-risk patient preoperative education, assessment, intraoperative analgesia, multimodal pharmacological strategies, non-pharmacological interventions. This summary highlights effective strategies which could support implementing comprehensive identifying patients, applying diversified analgesic

Language: Английский

Citations

0
Safety and efficacy of surgically performed continuous superficial serratus anterior plane block in uniportal video-assisted thoracic surgery DOI Creative Commons
Giovanni Punzo, Dania Nachira, Giuseppe Calabrese

et al.

Journal of Minimal Access Surgery, Journal Year: 2024, Volume and Issue: unknown

Published: July 30, 2024

Abstract Introduction: The ‘surgically performed’ continuous superficial serratus anterior plane block (continuous s-SAPB) was never described before in uniportal video-assisted thoracic surgery (uniportal VATS) surgery. aim of the study to evaluate safety and efficacy technique. Patients Methods: Between March 2022 April 2023, 50 patients, undergone VATS at our department, were scheduled for a surgically performed s-SAPB as post-operative analgesia protocol. Results: mean execution time 3.92 ± 2.56 min. Ten patients (20%) required morphine visual analogue scale (VAS) score >4 immediately after recorded VAS chest tube removal 1.87 1.41, whereas 2 h manoeuvre 0.42 0.72. No complication related insertion recorded. onset chronic pain observed total (4%). Conclusions: seems be safe easy perform, it provides satisfactory analgesic effect.

Language: Английский

Citations

1
Invited commentary to ‘Acute pain management after thoracoscopic lung resection: a systematic review and explorative meta-analysis’ DOI Creative Commons
Lucio Cagini, Domenico Pourmolkara, Stefania Tamburrini

et al.

Interdisciplinary CardioVascular and Thoracic Surgery, Journal Year: 2023, Volume and Issue: 36(1)

Published: Jan. 1, 2023

Language: Английский

Citations

1
Expanding clinicians’ armamentarium for regional pain control after thoracic surgery DOI Open Access

Haley I. Tupper,

Jeffrey B. Velotta

Journal of Thoracic Disease, Journal Year: 2023, Volume and Issue: 15(5), P. 2359 - 2362

Published: May 1, 2023

Language: Английский

Citations

1
Epidural analgesia versus systemic opioids for postoperative pain management after VATS: Protocol for a systematic review DOI Creative Commons
Jimmy Højberg Holm,

Mikkel Bak,

Anne Craveiro Brøchner

et al.

Acta Anaesthesiologica Scandinavica, Journal Year: 2024, Volume and Issue: 69(1)

Published: Nov. 7, 2024

Abstract Background Postoperative pain following video‐assisted thoracoscopic surgery (VATS) remains a significant challenge. While epidural analgesia is still the gold standard, other types of regional are gaining popularity because perceived less risk complications. The efficacy systemic opioids as an alternative to has not been thoroughly explored. This systematic review and meta‐analysis aims evaluate compare versus in managing postoperative after VATS. Methods We will conduct accordance with Cochrane Handbook Preferred Reporting Items for Systematic Meta‐Analysis Protocols (PRISMA‐P) checklist. A comprehensive search be conducted MEDLINE, EMBASE, Library supplemented Scopus citation searches, gray literature using Google Scholar ongoing studies. include studies based on PICO methodology without restrictions regarding study type. Two independent reviewers screen studies, extract data, assess quality Risk Bias tools. primary outcomes intensity at rest during activity 24, 48, 72 h. Secondary use “rescue” opioids, hospital length stay, adverse events. If feasible, done, otherwise we perform descriptive analysis. Results results provide comparative analysis effectiveness VATS patients. Data synthesis pooled estimates scores, opioid consumption, events, possibly subgroup sensitivity analyses explore heterogeneity across Conclusions offer valuable insights into optimal management strategy patients undergoing findings may guide clinical practice selecting most effective safe analgesic approach, improving recovery, patient outcomes.

Language: Английский

Citations

0
Advancing quality of recovery DOI Creative Commons
Renee van den Broek

Published: Jan. 1, 2024

versus thoracic epidural analgesia in video-assisted thoracoscopic surgery: a prospective randomized open label noninferiority trial.

Language: Английский

Citations

0
Efficacy of liposomal as compared to standard bupivacaine for intercostal nerve blocks in patients undergoing minimally invasive thoracic surgery: a systematic review and meta-analysis DOI

R. J. Chen,

Zhibo Wang

Minimally Invasive Therapy & Allied Technologies, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 11

Published: Dec. 24, 2024

This review aimed to provide evidence on the efficacy of liposomal bupivacaine as compared standard for intercostal nerve blocks (ICB) in patients undergoing minimally invasive thoracic surgery.

Language: Английский

Citations

0
Non-intubated video-assisted thoracoscopy : a narrative review DOI

V.V. Ushakova,

Steve Coppens

Acta Anaesthesiologica Belgica, Journal Year: 2024, Volume and Issue: 75(Supplement 1), P. 125 - 136

Published: Dec. 1, 2024

Non-intubated video-assisted thoracoscopic surgery (NIVATS) is an emerging technique in thoracic that avoids the use of general anaesthesia and mechanical ventilation. The evolution from traditional VATS to NIVATS has shown significant potential reducing postoperative complications, shortening hospital stays, improving patient satisfaction. By allowing spontaneous breathing, minimizes invasiveness procedures reduces risks associated with tracheal intubation anaesthesia. A comprehensive literature search was conducted across multiple databases, including Cochrane Library, Embase, Medline (Ovid), PubMed, Scopus, focusing on studies published between 2013 2023. Keywords included terms related NIVATS, one-lung yielded 56 relevant selected for inclusion our review. This narrative review explores physiological aspects clinical implications induced by respiratory management surgery. It also examines equipment techniques lung isolation, emphasizing importance optimizing perioperative management. In conclusion, both offer advantages over open thoracotomy. particular, shows promise enhancing outcomes through reduced complications faster recovery. We present current protocol at University Hospitals Leuven, although further areneeded confirm these benefits refine protocols broader adoption.

Language: Английский

Citations

0