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KMID : 0980720190380010039
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Keimyung Medical Journal
2019 Volume.38 No. 1 p.39 ~ p.44
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Comparison of Outcomes between Intubated and Non-intubated Video-assisted Thoracoscopic Wedge Resections Applied in the Same Patient
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Han Il-Sang
Lee A-Ran
Park Soon-Eun
Lee Hyung-Kwan
Park Eun-Sun
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Abstract
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In video-assisted thoracoscopic surgery (VATS), general anesthesia with endotracheal intubation was considered an optimal method of anesthesia for a long time. However, complications due to general anesthesia and one-lung ventilation have become a problem. In recent years, epidural anesthesia without endotracheal intubation has been attempted in various thoracic surgical procedures with various advantages and disadvantages reported. We compared postoperative pain and prognosis when different anesthesia methods were used in a patient who underwent the same operation twice in the interval of one year. When non-intubated videoassisted thoracoscopic surgery (NIVATS) underwent under epidural anesthesia, postoperative pain score was lower, adverse events were fewer, and the hospital stay was shorter than that of VATS. The patient also expressed high subjective satisfaction. Like previous studies, the results favored NIVATS under epidural anesthesia. However, greater attention and proficiency are required from the anesthesiologist for proper analgesia and sedation.
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KEYWORD
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Epidural anesthesia, Intubation, Non-intubated thoracoscopic surgery, Video assisted thoracoscopic surgery
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