Publication:
Anesthesia management in non-intubated thoracoscopic surgery (NIVATS): a retrospective study

dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorAçıkalın, Eren Yavuz
dc.contributor.kuauthorManici, Mete
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2025-03-06T20:58:19Z
dc.date.issued2023
dc.description.abstractObjectives: Video-assisted thoracoscopic surgery (VATS) is a widely used technique for thoracic operations. Non-intubated VATS (NIVATS) under regional or local anesthesia can be performed in selected patients. Epidural analgesia or interfascial plane blocks can be used for successful NIVATS. Erector spinae plane block (ESPB) is a type of interfascial plane block that is effective for NIVATS procedures. At our clinic, we successfully perform NIVATS with ESPB or rhomboid intercostal plane block (RIB). In this paper, we assess the effectiveness of these anesthesia methods used during NIVATS procedures. Methods: We retrospectively reviewed 61 patients that underwent NIVATS procedures at our clinic between November 2017 and August 2023. This study received ethical committee approval (2023.255.IRB1.084). These 61 patients were assessed based on their demographic information, ASA grades, procedure indication, procedure duration, post-procedure complications, and type of anesthesia. Results: All 61 patients received intraoperative sedation. Of these,16 received epidural analgesia, 10 received ESPB, 6 received RIB, and 29 received local anesthesia. Perioperative care did not differ between groups and all surgeries were completed without complications. No patients required transition to general anesthesia. Conclusion: Patients in the epidural group were younger, which we think correlates with increasing comorbidities and anticoagulant usage with age. Other parameters were similar between groups. Overall, we recommend further prospective studies with larger sample sizes to evaluate the outcomes of different anesthesia techniques for NIVATS procedures.
dc.description.indexedbyTR Dizin
dc.description.publisherscopeNational
dc.description.sponsoredbyTubitakEuN/A
dc.identifier.doi10.14744/GKDAD.2023.38233
dc.identifier.eissn2548-0669
dc.identifier.issue4
dc.identifier.quartileN/A
dc.identifier.urihttps://doi.org/10.14744/GKDAD.2023.38233
dc.identifier.urihttps://hdl.handle.net/20.500.14288/27447
dc.identifier.volume29
dc.keywordsRegional anesthesia
dc.keywordsVideo-assisted thoracic surgery
dc.keywordsEpidural analgesia
dc.language.isoeng
dc.publisherGöğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği
dc.relation.ispartofGöğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi
dc.subjectMedicine
dc.titleAnesthesia management in non-intubated thoracoscopic surgery (NIVATS): a retrospective study
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorAçıkalın, Eren Yavuz
local.contributor.kuauthorManici, Mete
local.contributor.kuauthorYavuz, Gürkan
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit2School of Medicine
relation.isOrgUnitOfPublicationd02929e1-2a70-44f0-ae17-7819f587bedd
relation.isOrgUnitOfPublication.latestForDiscoveryd02929e1-2a70-44f0-ae17-7819f587bedd
relation.isParentOrgUnitOfPublication17f2dc8e-6e54-4fa8-b5e0-d6415123a93e
relation.isParentOrgUnitOfPublication.latestForDiscovery17f2dc8e-6e54-4fa8-b5e0-d6415123a93e

Files