PMID- 26046045
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20150605
LR  - 20201001
IS  - 2305-5839 (Print)
IS  - 2305-5847 (Electronic)
IS  - 2305-5839 (Linking)
VI  - 3
IP  - 8
DP  - 2015 May
TI  - Non-intubated video-assisted thoracic surgery management of secondary spontaneous 
      pneumothorax.
PG  - 104
LID - 10.3978/j.issn.2305-5839.2015.04.24 [doi]
LID - 104
AB  - Secondary spontaneous pneumothorax (SSP) is serious entity, usually due to 
      underlying disease, mainly chronic obstructive pulmonary disease (COPD). Its 
      morbidity and mortality is high due to the pulmonary compromised status of these 
      patients, and the recurrence rate is almost 50%, increasing mortality with each 
      episode. For persistent or recurrent SSP, surgery under general anesthesia (GA) 
      and mechanical ventilation (MV) with lung isolation is the gold standard, but 
      ventilator-induced damages and dependency, and postoperative pulmonary 
      complications are frequent. In the last two decades, several groups have reported 
      successful results with non-intubated video-assisted thoracic surgery (NI-VATS) 
      with thoracic epidural anesthesia (TEA) and/or local anesthesia under spontaneous 
      breathing. Main benefits reported are operative time, operation room time and 
      hospital stay reduction, and postoperative respiratory complications decrease 
      when comparing to GA, thus encouraging for further research in these moderate to 
      high risk patients many times rejected for the standard regimen. There are also 
      reports of special situations with satisfactory results, as in contralateral 
      pneumonectomy and lung transplantation. The aim of this review is to collect, 
      analyze and discuss all the available evidence, and seek for future lines of 
      investigation.
FAU - Galvez, Carlos
AU  - Galvez C
AD  - 1 Thoracic Surgery Service, 2 Anethesiologist and Surgical Critical Care Service, 
      University General Hospital of Alicante, C/Pintor Baeza 12, 03010, Alicante, 
      Spain ; 3 Thoracic Surgery Service, Vinalopo Hospital, C/Tonico Sansano Mora 14, 
      03293 Elche, Alicante, Spain ; 4 Thoracic Surgery, Alicante, Spain.
FAU - Bolufer, Sergio
AU  - Bolufer S
AD  - 1 Thoracic Surgery Service, 2 Anethesiologist and Surgical Critical Care Service, 
      University General Hospital of Alicante, C/Pintor Baeza 12, 03010, Alicante, 
      Spain ; 3 Thoracic Surgery Service, Vinalopo Hospital, C/Tonico Sansano Mora 14, 
      03293 Elche, Alicante, Spain ; 4 Thoracic Surgery, Alicante, Spain.
FAU - Navarro-Martinez, Jose
AU  - Navarro-Martinez J
AD  - 1 Thoracic Surgery Service, 2 Anethesiologist and Surgical Critical Care Service, 
      University General Hospital of Alicante, C/Pintor Baeza 12, 03010, Alicante, 
      Spain ; 3 Thoracic Surgery Service, Vinalopo Hospital, C/Tonico Sansano Mora 14, 
      03293 Elche, Alicante, Spain ; 4 Thoracic Surgery, Alicante, Spain.
FAU - Lirio, Francisco
AU  - Lirio F
AD  - 1 Thoracic Surgery Service, 2 Anethesiologist and Surgical Critical Care Service, 
      University General Hospital of Alicante, C/Pintor Baeza 12, 03010, Alicante, 
      Spain ; 3 Thoracic Surgery Service, Vinalopo Hospital, C/Tonico Sansano Mora 14, 
      03293 Elche, Alicante, Spain ; 4 Thoracic Surgery, Alicante, Spain.
FAU - Corcoles, Juan Manuel
AU  - Corcoles JM
AD  - 1 Thoracic Surgery Service, 2 Anethesiologist and Surgical Critical Care Service, 
      University General Hospital of Alicante, C/Pintor Baeza 12, 03010, Alicante, 
      Spain ; 3 Thoracic Surgery Service, Vinalopo Hospital, C/Tonico Sansano Mora 14, 
      03293 Elche, Alicante, Spain ; 4 Thoracic Surgery, Alicante, Spain.
FAU - Rodriguez-Paniagua, Jose Manuel
AU  - Rodriguez-Paniagua JM
AD  - 1 Thoracic Surgery Service, 2 Anethesiologist and Surgical Critical Care Service, 
      University General Hospital of Alicante, C/Pintor Baeza 12, 03010, Alicante, 
      Spain ; 3 Thoracic Surgery Service, Vinalopo Hospital, C/Tonico Sansano Mora 14, 
      03293 Elche, Alicante, Spain ; 4 Thoracic Surgery, Alicante, Spain.
LA  - eng
PT  - Journal Article
PT  - Review
PL  - China
TA  - Ann Transl Med
JT  - Annals of translational medicine
JID - 101617978
PMC - PMC4436425
OTO - NOTNLM
OT  - Thoracic surgery
OT  - anesthesia
OT  - epidural
OT  - mechanical
OT  - pneumothorax
OT  - ventilation
OT  - video-assisted
EDAT- 2015/06/06 06:00
MHDA- 2015/06/06 06:01
PMCR- 2015/05/01
CRDT- 2015/06/06 06:00
PHST- 2015/03/11 00:00 [received]
PHST- 2015/04/23 00:00 [accepted]
PHST- 2015/06/06 06:00 [entrez]
PHST- 2015/06/06 06:00 [pubmed]
PHST- 2015/06/06 06:01 [medline]
PHST- 2015/05/01 00:00 [pmc-release]
AID - atm-03-08-104 [pii]
AID - 10.3978/j.issn.2305-5839.2015.04.24 [doi]
PST - ppublish
SO  - Ann Transl Med. 2015 May;3(8):104. doi: 10.3978/j.issn.2305-5839.2015.04.24.