Awake thoracic surgery is performed by regional anesthesia techniques in spontaneously breathing, fully conscious patients to avoid side-effects of general anesthesia, fasten recovery, and reduce morbidity, particularly in high-risk patients. Results of ongoing experience are promising, and this novel surgical approach has been successfully applied to several thoracoscopic procedures, including management of pleural effusion, wedge resections, lung volume reduction surgery, bullectomy, and thymectomy. In this article, the historical background, main pathophysiology features of the surgical pneumothorax, and the various regional anesthesia techniques as well as reported results are reviewed and critically discussed.

Pompeo, E. (2012). Awake thoracic surgery--is it worth the trouble?. SEMINARS IN THORACIC AND CARDIOVASCULAR SURGERY, 24(2), 106-114 [10.1053/j.semtcvs.2012.06.010].

Awake thoracic surgery--is it worth the trouble?

POMPEO, EUGENIO
2012-01-01

Abstract

Awake thoracic surgery is performed by regional anesthesia techniques in spontaneously breathing, fully conscious patients to avoid side-effects of general anesthesia, fasten recovery, and reduce morbidity, particularly in high-risk patients. Results of ongoing experience are promising, and this novel surgical approach has been successfully applied to several thoracoscopic procedures, including management of pleural effusion, wedge resections, lung volume reduction surgery, bullectomy, and thymectomy. In this article, the historical background, main pathophysiology features of the surgical pneumothorax, and the various regional anesthesia techniques as well as reported results are reviewed and critically discussed.
2012
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/21 - CHIRURGIA TORACICA
English
Con Impact Factor ISI
Consciousness; History, 21st Century; History, 20th Century; Risk Factors; Humans; Treatment Outcome; Recovery of Function; Patient Selection; Wakefulness; Thoracic Surgery, Video-Assisted; Risk Assessment; Anesthesia, Conduction
Pompeo, E. (2012). Awake thoracic surgery--is it worth the trouble?. SEMINARS IN THORACIC AND CARDIOVASCULAR SURGERY, 24(2), 106-114 [10.1053/j.semtcvs.2012.06.010].
Pompeo, E
Articolo su rivista
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/79548
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