PMID- 36034396
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220830
IS  - 2296-875X (Print)
IS  - 2296-875X (Electronic)
IS  - 2296-875X (Linking)
VI  - 9
DP  - 2022
TI  - Non-Intubated Thoracic Surgery: Standpoints and Perspectives.
PG  - 937633
LID - 10.3389/fsurg.2022.937633 [doi]
LID - 937633
AB  - Non-intubated video-assisted thoracic surgery (NI-VATS) combines the advantages 
      of a non-intubated surgery with the benefits of a minimally invasive approach. 
      First, NI-VATS is performed in the case of fragile patients when general 
      anesthesia and/or orotracheal intubation can be foreseen as inconvenient. 
      However, NI-VATS indications have been increasingly extended to different patient 
      conditions, considering the increasingly assessed safety and feasibility of the 
      procedure. Currently, the NI-VATS approach is used worldwide for different 
      thoracic surgery procedures, including the management of malignant pleural 
      effusion, surgical treatment of empyema, anatomical and non-anatomical lung 
      resection, and other indications. In fact, this approach has shown to be less 
      impactful than VATS under general anesthesia, allowing for shortened 
      hospitalization and faster recovery after surgery. Besides, NI-VATS is associated 
      with fewer pulmonary complications, less respiratory distress, and a mild 
      systemic inflammatory reaction. For these reasons, this approach should be 
      considered not only in patients with poor cardiac or respiratory function 
      (general functional reserve), but also in other eligible conditions. We explored 
      the anesthetic and surgical aspects of such an approach, including the management 
      of analgesia, cough reflex, depth of sedation, and intraoperative technical 
      issues to put this approach in perspective.
CI  - Copyright (c) 2022 Anile, Vannucci, Ferrante, Bruno, De Paolo, Bassi, Pugliese, 
      Venuta and the NIVATS interest group.
FAU - Anile, Marco
AU  - Anile M
AD  - Department of Thoracic Surgery and Lung Transplantation, University of Rome 
      Sapienza, Policlinico Umberto I, Rome, Italy.
FAU - Vannucci, Jacopo
AU  - Vannucci J
AD  - Department of Thoracic Surgery and Lung Transplantation, University of Rome 
      Sapienza, Policlinico Umberto I, Rome, Italy.
FAU - Ferrante, Francesco
AU  - Ferrante F
AD  - Department of Thoracic Surgery and Lung Transplantation, University of Rome 
      Sapienza, Policlinico Umberto I, Rome, Italy.
FAU - Bruno, Katia
AU  - Bruno K
AD  - Department of Anesthesiology and Critical Care, University of Rome Sapienza, 
      Policlinico Umberto I, Rome, Italy.
FAU - De Paolo, Dalila
AU  - De Paolo D
AD  - Department of Anesthesiology and Critical Care, University of Rome Sapienza, 
      Policlinico Umberto I, Rome, Italy.
FAU - Bassi, Massimiliano
AU  - Bassi M
AD  - Department of Thoracic Surgery and Lung Transplantation, University of Rome 
      Sapienza, Policlinico Umberto I, Rome, Italy.
FAU - Pugliese, Francesco
AU  - Pugliese F
AD  - Department of Anesthesiology and Critical Care, University of Rome Sapienza, 
      Policlinico Umberto I, Rome, Italy.
FAU - Venuta, Federico
AU  - Venuta F
AD  - Department of Thoracic Surgery and Lung Transplantation, University of Rome 
      Sapienza, Policlinico Umberto I, Rome, Italy.
CN  - NIVATS Interest Group
LA  - eng
PT  - Journal Article
DEP - 20220701
PL  - Switzerland
TA  - Front Surg
JT  - Frontiers in surgery
JID - 101645127
PMC - PMC9407015
OTO - NOTNLM
OT  - NI-VATS
OT  - Non-intubated surgery
OT  - anesthesia
OT  - perioperative management
OT  - pulmonary resections
OT  - video-assisted thoracic surgery
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2022/08/30 06:00
MHDA- 2022/08/30 06:01
PMCR- 2022/07/01
CRDT- 2022/08/29 05:07
PHST- 2022/05/06 00:00 [received]
PHST- 2022/06/09 00:00 [accepted]
PHST- 2022/08/29 05:07 [entrez]
PHST- 2022/08/30 06:00 [pubmed]
PHST- 2022/08/30 06:01 [medline]
PHST- 2022/07/01 00:00 [pmc-release]
AID - 10.3389/fsurg.2022.937633 [doi]
PST - epublish
SO  - Front Surg. 2022 Jul 1;9:937633. doi: 10.3389/fsurg.2022.937633. eCollection 
      2022.