Clinical guide to perioperative management for videothoracoscopy lung resection (Section of Cardiac, Vascular and Thoracic Anesthesia, SEDAR; Spanish Society of Thoracic Surgery, SECT; Spanish Society of Physiotherapy)

Granell-Gil, Manuel; Murcia-Anaya, M.; Sevilla, Sebastián; Martínez-Plumed, R.; Biosca-Pérez, E.; Cózar-Bernal, F.; Garutti, Ignacio; Gallart, L.; Ubierna-Ferreras, B.; Sukia-Zilbeti, I.; Gálvez-Muñoz, C.; Delgado-Roel, M.; Mínguez, Luis Alfonso Hortelano; Bermejo, S.; Valencia, O.; Real, Maximiliano Ritacco; Unzueta, Carmen; Ferrando, Carlos; Sánchez, F.; González, S.; Ruiz-Villén, C.; Lluch, A.; Hernández, A.; Hernández-Beslmeisl, J.; Vives, Marc; Vicente, R.

doi:10.1016/j.redare.2021.03.015

Cited by 4 publications

(2 citation statements)

References 201 publications

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“…Fast-track surgery programs and enhanced recovery after surgery (ERAS) protocols have been progressively implemented due to their demonstrated benefits in postoperative outcomes after VATS. However, the successful application of these programs requires effective analgesia, early patient mobilization, and prompt removal of drainage tubes and urinary catheters, among other factors [3,[24][25][26].…”

Section: Discussionmentioning

confidence: 99%

Analgesic Efficacy and Safety of Intrathecal Morphine or Intercostal Levobupivacaine in Lung Cancer Patients after Major Lung Resection Surgery by Videothoracoscopy: A Prospective Randomized Controlled Trial

González-Santos,

Mugabure,

Granell

et al. 2024

JCM

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Lung resection using video-assisted thoracoscopic surgery (VATS) improves surgical accuracy and postoperative recovery. Unfortunately, moderate-to-severe acute postoperative pain is still inherent to the procedure, and a technique of choice has not been established for the appropriate control of pain. In this study, we aimed to compare the efficacy and safety of intrathecal morphine (ITM) with that of intercostal levobupivacaine (ICL). Methods: We conducted a single-center, prospective, randomized, observer-blinded, controlled trial among 181 adult patients undergoing VATS (ISRCTN12771155). Participants were randomized to receive ITM or ICL. Primary outcomes were the intensity of pain, assessed by a numeric rating scale (NRS) over the first 48 h after surgery, and the amount of intravenous morphine used. Secondary outcomes included the incidence of adverse effects, length of hospital stay, mortality, and chronic post-surgical pain at 6 and 12 months after surgery. Results: There are no statistically significant differences between ITM and ICL groups in pain intensity and evolution at rest. In cough-related pain, differences in pain trajectories over time are observed. Upon admission to the PACU, cough-related pain was higher in the ITM group, but the trend reversed after 6 h. There are no significant differences in adverse effects. The rate of chronic pain was low and did not differ significantly between groups. Conclusions: ITM can be considered an adequate and satisfactory regional technique for the control of acute postoperative pain in VATS, compatible with the multimodal rehabilitation and early discharge protocols used in these types of surgeries.

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Section: Discussionmentioning

confidence: 99%

Analgesic Efficacy and Safety of Intrathecal Morphine or Intercostal Levobupivacaine in Lung Cancer Patients after Major Lung Resection Surgery by Videothoracoscopy: A Prospective Randomized Controlled Trial

González-Santos,

Mugabure,

Granell

et al. 2024

JCM

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“…The neurological results obtained following the use of robotic thymectomy, followed 5 years after the surgical intervention, led to complete remission in approximately 29% of cases and improvement of the clinical symptoms in 87.9% of the cases studied [ 99 ].…”

Section: Robotic Thymectomymentioning

confidence: 99%

Thymus Surgery Prospectives and Perspectives in Myasthenia Gravis

Salahoru,

Grigorescu,

Hinganu

et al. 2024

JPM

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The thymus is a lymphoid organ involved in the differentiation of T cells, and has a central role in the physiopathogenesis of Myasthenia Gravis (MG). This connection is proved by a series of changes in the level of neuromuscular junctions, which leads to a decrease in the amplitude of the action potential in the post-synaptic membrane. Because of this, the presence of anti-cholinergic receptor antibodies (AChR), characteristic of MG, is found, which causes the progressive regression of the effect of acetylcholine at the level of neuromuscular junctions, with the appearance of muscle weakness. The thymectomy is a surgical variant of drug therapy administered to patients with MG. In the case of patients with nonthymomatous MG, thymectomy has become a therapeutic standard, despite the fact that there is no solid scientific evidence to explain its positive effect. Videothoracoscopic surgery or robotic surgery led to a decrease in the length of hospital stay for these patients. This paper aims to synthesize the information presented in the literature in order to create a background for the perspectives of thymectomy.

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Physiotherapy provided for patients undergoing thoracic surgery in Sweden – a national survey of practice

Jönsson

Westerdahl

Reeve

2023

Physiotherapy Theory and Practice

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Clinical guide to perioperative management for videothoracoscopy lung resection (Section of Cardiac, Vascular and Thoracic Anesthesia, SEDAR; Spanish Society of Thoracic Surgery, SECT; Spanish Society of Physiotherapy)

Cited by 4 publications

References 201 publications

Analgesic Efficacy and Safety of Intrathecal Morphine or Intercostal Levobupivacaine in Lung Cancer Patients after Major Lung Resection Surgery by Videothoracoscopy: A Prospective Randomized Controlled Trial

Analgesic Efficacy and Safety of Intrathecal Morphine or Intercostal Levobupivacaine in Lung Cancer Patients after Major Lung Resection Surgery by Videothoracoscopy: A Prospective Randomized Controlled Trial

Thymus Surgery Prospectives and Perspectives in Myasthenia Gravis

Physiotherapy provided for patients undergoing thoracic surgery in Sweden – a national survey of practice

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