Technical Issues and Patient Safety in Nonintubated Thoracic Anesthesia

Gabor Kiss

doi:10.1016/j.thorsurg.2019.09.001

Technical Issues and Patient Safety in Nonintubated Thoracic Anesthesia

Thorac Surg Clin. 2020 Feb;30(1):1-13. doi: 10.1016/j.thorsurg.2019.09.001.

Author

Gabor Kiss¹

Affiliation

¹ Department of Anesthesia for Cardiothoracics and Vascular Surgery, University Hospital Felix Guyon, Allée des Topazes, Saint Denis F-97400, Réunion, France. Electronic address: gaborkiss2001@hotmail.com.

PMID: 31761277
DOI: 10.1016/j.thorsurg.2019.09.001

Abstract

Nonintubated thoracic surgery (NITS) has a good safety record in experienced hands, but has pitfalls for beginners. The main aim of NITS is to keep the patient under spontaneous respiration, avoiding adverse effects, such as hypoxemia, hypercapnia, panic attacks, and finally conversion to general anesthesia. In this paper, the safety aspects of anesthesia for NITS is discussed based on data from the literature and personnel clinical experiences.

Keywords: Awake; Conversion; Epidural anesthesia; Hypnosis; Nonintubated thoracic surgery; Regional anesthesia; Safety; Spontaneous respiration.

Publication types

Review

MeSH terms

Anesthesia, Epidural / methods
Anesthesia, General / methods*
Humans
Monitoring, Intraoperative / methods
Panic Disorder / prevention & control
Patient Safety*
Postoperative Complications / prevention & control*
Thoracic Surgical Procedures* / adverse effects
Thoracic Surgical Procedures* / methods
Thoracic Surgical Procedures* / psychology