Torakal Epidural Anestezi ve Bilinçli Sedasyon Altında Video Yardımlı Torakoskopik Cerrahi

Year 2020, Volume: 3 Issue: Özel Sayı 1, 1 - 5, 22.06.2020

Feride Karacaer

https://doi.org/10.36516/jocass.2020.33

Abstract

Entübe edilmemiş video yardımlı torakoskopik cerrahi, son yıllarda tüm dünyada yaygın popülarite kazanmaktadır. Bu cerrahi uygulamanın temel avantajı, genel anestezi, entübasyon travması, mekanik tek akciğer ventilasyonu ve kas gevşeticilerden kaynaklanan perioperatif yan etkilerden hastayı korumaktır. Bu olgu sunumunda, postoperatif solunum yetmezliği riski yüksek olması nedeniyle entübe edilmemiş video yardımlı torasik cerrahi geçiren iki hastamızı sunmayı amaçladık.

Keywords

Entübe edilmemiş video yardımlı torakoskopik cerrahi

References

• 1. Tacconi F, Pompeo E. Non-intubated video-assisted thoracic surgery: where does evidence stand? J Thorac Dis. 2016;8(Suppl 4):364-75.
• 2. Hung MH, Hsu HH, Cheng YJ, Chen JS. Nonintubated thoracoscopic surgery: state of the art and future directions. J Thorac Dis. 2014;6:2–9.
• 3. Iwata Y, Hamai Y, Koyama T. Anesthetic management of nonintubated video-assisted thoracoscopic surgery using epidural anesthesia and dexmedetomidine in three patients with severe respiratory dysfunction. J Anesth. 2016;30:324–27.
• 4. Rocco G, Martucci N, La Manna C,J ones DR, De Luca G, La Rocca A, Cuomo A, Accardo R. Ten-year experience on 644 patients undergoing single-port (uniportal) video-assisted thoracoscopic surgery. Ann Thorac Surg 2013;96:434-8
• 5. Ng CS, Gonzalez-Rivas D, D’Amico TA, Rocco G. Uniportal VATS—a new era in lung cancer surgery. J Thorac Dis. 2015; 7:1489-91.
• 6. Guo Z, Shao W, Yin W, Chen H, Zhang X, Dong Q, Liang L, Wang W, Peng G, Hel J. Analysis of feasibility and safety of complete video-assisted thoracoscopic resection of anatomic pulmonary segments under non-intubated anesthesia. J Thorac Dis 2014;6:37-44.
• 7. Gothard J. Lung injury after thoracic surgery and one-lung ventilation. Curr Opin Anaesthesiol 2006;19:5-10.
• 8. Fitzmaurice BG, Brodsky JB. Airway rupture from double-lumen tubes. J Cardiothorac Vasc Anesth 1999;13:322-9.
• 9. Zhao Z-R, Lau RWH, Ng CSH. Non-intubated video-assisted thoracic surgery: the final frontier? Eur J Cardiothorac Surg 2016;50:925-6.
• 10. Gonzalez-Rivas D, Bonome C, Fieira E, Aymerich H, Fernandez R, Delgado M, Mendez L, de la Torre M. Non-intubated video-assisted thoracoscopic lung resections: the future of thoracic surgery? Eur J Cardiothorac Surg 2016;49:721-31.
• 11. Contreras M, Masterson C, Laffey JG. Permissive hypercapnia: what to remember. Curr Opin Anaesthesiol 2015;28:26–37.
• 12. Wu CY, Chen JS, Lin YS, Tsai TM, Hung MH, Chan KC, Cheng YJ. Feasibility and safety of nonintubated thoracoscopic lobectomy for geriatric lung cancer patients. Ann Thorac Surg 2013;95:405–11.
• 13. Zheng H, Hu XF, Jiang GN, Ding JA, Zhu YM. Nonintubated-Awake Anesthesia for Uniportal Video-Assisted Thoracic Surgery Procedures. Thorac Surg Clin. 2017;27:399-406.
• 14. Chen KC, Cheng YJ, Hung MH, Tseng YD, Chen JS. Nonintubated thoracoscopic lung resection: a 3-year experience with 285 cases in a single institution. J Thorac Dis 2012;4:347–51.
• 15. Chen JS, Cheng YJ, Hung MH, Tseng YD, Chen KC, Lee YC. Nonintubated thoracoscopic lobectomy for lung cancer. Ann Surg 2011;254:1038–43.
• 16. Eberl S, Preckel B, Bergman JJ, van Dieren S, Hollmann MW. Satisfaction and safety using dexmedetomidine or propofol sedation during endoscopic oesophageal procedures: a randomised controlled trial. Eur J Anaesthesiol 2016;33:631–7.
• 17. Bhat R, Sanickop CS, Patil MC, Umrani VS, Dhorigol MG. Comparison of Macintosh laryngoscope and C-MAC video laryngoscope for intubation in lateral position. J Anaesthesiol Clin Pharmacol 2015;31:226–9.