PMID- 33573604
OWN - NLM
STAT- MEDLINE
DCOM- 20211208
LR  - 20240330
IS  - 1471-2253 (Electronic)
IS  - 1471-2253 (Linking)
VI  - 21
IP  - 1
DP  - 2021 Feb 11
TI  - Procedural times in early non-intubated VATS program - a propensity score 
      analysis.
PG  - 44
LID - 10.1186/s12871-021-01270-4 [doi]
LID - 44
AB  - BACKGROUND: Non-intubated video-assisted thoracic surgery (NiVATS) has been 
      introduced to surgical medicine in order to reduce the invasiveness of anesthetic 
      procedures and avoid adverse effects of intubation and one-lung ventilation 
      (OLV). The aim of this study is to determine the time effectiveness of a NiVATS 
      program compared to conventional OLV. METHODS: This retrospective analysis 
      included all patients in Leipzig University Hospital that needed minor VATS 
      surgery between November 2016 and October 2019 constituting a NiVATS (n = 67) and 
      an OLV (n = 36) group. Perioperative data was matched via propensity score 
      analysis, identifying two comparable groups with 23 patients. Matched pairs were 
      compared via t-Test. RESULTS: Patients in NiVATS and OLV group show no 
      significant differences other than the type of surgical procedure performed. 
      Wedge resection was performed significantly more often under NiVATS conditions 
      than with OLV (p = 0,043). Recovery time was significantly reduced by 7 min 
      (p = 0,000) in the NiVATS group. There was no significant difference in the time 
      for induction of anesthesia, duration of surgical procedure or overall procedural 
      time. CONCLUSIONS: Recovery time was significantly shorter in NiVATS, but this 
      effect disappeared when extrapolated to total procedural time. Even during the 
      implementation phase of NiVATS programs, no extension of procedural times occurs.
FAU - Metelmann, Isabella
AU  - Metelmann I
AD  - Department of Visceral, Transplant, Thoracic and Vascular Surgery, University 
      Hospital of Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany. 
      Isabella.metelmann@medizin.uni-leipzig.de.
FAU - Broschewitz, Johannes
AU  - Broschewitz J
AD  - Department of General, Visceral, Thoracic and Vascular Surgery, Faculty of Health 
      Sciences Brandenburg, Brandenburg Medical School, University Hospital Neuruppin, 
      Fehrbelliner Strasse 38, 16816, Neuruppin, Germany.
FAU - Pietsch, Uta-Carolin
AU  - Pietsch UC
AD  - Department of Anesthesiology and Intensive Care Medicine, University Hospital of 
      Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.
FAU - Huschak, Gerald
AU  - Huschak G
AD  - Department of Anesthesiology and Intensive Care Medicine, University Hospital of 
      Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.
AD  - OR Management, University Hospital of Leipzig, Liebigstrasse 20, 04103, Leipzig, 
      Germany.
FAU - Eichfeld, Uwe
AU  - Eichfeld U
AD  - Department of Visceral, Transplant, Thoracic and Vascular Surgery, University 
      Hospital of Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.
FAU - Bercker, Sven
AU  - Bercker S
AD  - Department of Anesthesiology and Intensive Care Medicine, University Hospital of 
      Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.
FAU - Kraemer, Sebastian
AU  - Kraemer S
AD  - Department of Visceral, Transplant, Thoracic and Vascular Surgery, University 
      Hospital of Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20210211
PL  - England
TA  - BMC Anesthesiol
JT  - BMC anesthesiology
JID - 100968535
SB  - IM
MH  - Female
MH  - Germany
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Operative Time
MH  - *Propensity Score
MH  - Retrospective Studies
MH  - Thoracic Surgery, Video-Assisted/*methods/*statistics & numerical data
PMC - PMC7877094
OTO - NOTNLM
OT  - Non-intubated VATS
OT  - Procedural times
OT  - Spontaneous ventilation
OT  - VATS
OT  - Video-assisted thoracoscopic surgery
COIS- The authors declare that they have no competing interests.
EDAT- 2021/02/13 06:00
MHDA- 2021/12/15 06:00
PMCR- 2021/02/11
CRDT- 2021/02/12 05:39
PHST- 2020/09/17 00:00 [received]
PHST- 2021/02/04 00:00 [accepted]
PHST- 2021/02/12 05:39 [entrez]
PHST- 2021/02/13 06:00 [pubmed]
PHST- 2021/12/15 06:00 [medline]
PHST- 2021/02/11 00:00 [pmc-release]
AID - 10.1186/s12871-021-01270-4 [pii]
AID - 1270 [pii]
AID - 10.1186/s12871-021-01270-4 [doi]
PST - epublish
SO  - BMC Anesthesiol. 2021 Feb 11;21(1):44. doi: 10.1186/s12871-021-01270-4.