• Ann Transl Med · May 2015

    Review

    Non-intubated anesthesia in thoracic surgery-technical issues.

    • Gabor Kiss and Maria Castillo.
    • 1 Anaesthesia and Surgical Intensive Care, Department of Cardiovascular and Thoracic Surgery, University Hospital of Lille, 2 Avenue Oscar Lambret, F-59000 Lille, France ; 2 Department of Anesthesiology, Icahn School of Medicine, Mount Sinai Medical Center, New York, NY 10029, USA.
    • Ann Transl Med. 2015 May 1;3(8):109.

    AbstractPerforming awake thoracic surgery (ATS) is technically more challenging than thoracic surgery under general anesthesia (GA), but it can result in a greater benefit for the patient. Local wound infiltration and lidocaine administration in the pleural space can be considered for ATS. More invasive techniques are local wound infiltration with wound catheter insertion, thoracic wall blocks, selective intercostal nerve blockade, thoracic paravertebral blockade and thoracic epidural analgesia, offering the advantage of a catheter placement which can also be continued for postoperative analgesia.

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