Erector spinae plane block allows non-intubated vats-wedge resection

Longo, Ferdinando; Piliego, Chiara; Tomaselli, Eleonora; Martuscelli, Matteo

doi:10.1016/j.jclinane.2019.08.044

Cited by 11 publications

(10 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another regional anaesthesia technique is the erector spinae plane block (ESPB) [20,21], which may also be combined with PVB [22]. Under ultrasound guidance a nerve block needle is positioned between T5 to T8 level over the transverse process and beneath the erector spinae muscle to reach the interfascial space where local anaesthetics (e.g., 10 ml of 0.5% bupivacaine and 5 ml of 2% lidocaine or 0.375% ropivacaine mono) are injected caudally to cranially after hydro dissection with normal saline [19][20][21]. Successful blockade is verified by a pinprick test.…”

Section: Locoregional Anaesthesia Techniquesmentioning

confidence: 99%

Thoracic surgery in the non-intubated spontaneously breathing patient

Grott

Eichhorn

et al. 2022

Respir Res

View full text Add to dashboard Cite

Background The interest in non-intubated video-assisted thoracic surgery (NIVATS) has risen over the last decade and numerous terms have been used to describe this technique. They all have in common, that the surgical procedure is performed in a spontaneously breathing patient under locoregional anaesthesia in combination with intravenous sedation but have also been performed on awake patients without sedation. Evidence has been generated favouring NIVATS compared to one-lung-ventilation under general anaesthesia. Main body We want to give an overview of how NIVATS is performed, and which different techniques are possible. We discuss advantages such as shorter length of hospital stay or (relative) contraindications like airway difficulties. Technical aspects, for instance intraoperative handling of the vagus nerve, are considered from a thoracic surgeon’s point of view. Furthermore, special attention is paid to the cohort of patients with interstitial lung diseases, who seem to benefit from NIVATS due to the avoidance of positive pressure ventilation. Whenever a new technique is introduced, it must prove noninferiority to the state of the art. Under this aspect current literature on NIVATS for lung cancer surgery has been reviewed. Conclusion NIVATS technique may safely be applied to minor, moderate, and major thoracic procedures and is appropriate for a selected group of patients, especially in interstitial lung disease. However, prospective studies are urgently needed.

show abstract

Section: Locoregional Anaesthesia Techniquesmentioning

confidence: 99%

Thoracic surgery in the non-intubated spontaneously breathing patient

Grott

Eichhorn

et al. 2022

Respir Res

View full text Add to dashboard Cite

show abstract

“…Three-dimensional CT angiography of the target lung was established using the free OsiriX for non-invasive location of the nodule [4], and the mechanical labeling by microcoil or hook-wire was avoided. Then non-intubated uniportal VATS pulmonary wedge resection was performed using internal intercostal nerve block, vagal block, and targeted sedation as reported [5,6]. The operation time was 30 minutes, without signi cant blood loss.…”

Section: Case Presentationmentioning

confidence: 99%

Contralateral Spontaneous Rupture of the Esophagus Following severe Vomiting After Non-intubated Pulmonary Wedge Resection

Liu

Gong

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Non-intubated thoracoscopic lung surgery has been widely applied as it is technically feasible and safe. Spontaneous rupture of the esophagus, also known as Boerhaave's syndrome (BS), is rare after chest surgery.Case Presentation: A 60-year-old female non-smoker underwent non-intubated uniportal thoracoscopic wedge resection assisted with a laryngeal mask for a solitary pulmonary nodule. Ultrasound-guided serratus anterior plane block was utilized for analgesia. The patient complained of hyperemesis followed by chest pain and acute dyspnea 6 hours after the surgery. Emergency chest x-ray revealed the right-sided hydropneumothorax. BS was confirmed by further chest tube drainage and computed tomography. The patient refused surgical intervention; therefore, conservative procedures including pleural evacuation through a naso-leakage drainage tube, antibiotics and tube feeding were administered. The healing of the esophagus was recorded 40 days later.Conclusions: Perioperative antiemetic is an indispensable item of tubeless thoracic surgery. BS should be kept in mind when the patients suffer from sudden chest distress following severe vomiting after tubeless lung surgery.

show abstract

“…Preoperative three-dimensional CT angiography (3D-CTA) was established by OsiriX [4]; therefore, invasive labeling of the GGN by microcoil or hook-wire was avoided. Non-intubated uniportal VATS pulmonary wedge resection was performed under internal intercostal nerve block and targeted sedation [5,6]. The operation time was 30 minutes, without obvious blood loss.…”

Section: Case Presentationmentioning

confidence: 99%

Contralateral spontaneous rupture of the esophagus following severe emesis after non-intubated pulmonary wedge resection

Liu

Gong

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Non-intubated thoracoscopic lung surgery has been reported to be technically feasible and safe. Spontaneous rupture of the esophagus, also known as Boerhaave's syndrome (BS), is rare after chest surgery.Case Presentation: A 60-year-old female non-smoker underwent non-intubated uniportal thoracoscopic wedge resection for a pulmonary nodule. Ultrasound-guided serratus anterior plane block was utilized for postoperative analgesia. However, the patient suffered from severe emesis, chest pain and dyspnea 6h after the surgery. Emergency chest x-ray revealed right-sided hydropneumothorax. BS was diagnosed by chest tube drainage and computed tomography. Besides antibiotics and tube feeding, a naso-leakage drainage tube was inserted into the right thorax for pleural evacuation. Finally, the esophagus was healed 40d after the conservative treatment.Conclusions: Perioperative antiemetic therapy is an indispensable item of fast-track surgery. Moreover, BS should be kept in mind when the patients complain of chest distress following emesis after thoracic surgery.

show abstract

Erector spinae plane block allows non-intubated vats-wedge resection

Cited by 11 publications

References 1 publication

Thoracic surgery in the non-intubated spontaneously breathing patient

Thoracic surgery in the non-intubated spontaneously breathing patient

Contralateral Spontaneous Rupture of the Esophagus Following severe Vomiting After Non-intubated Pulmonary Wedge Resection

Contralateral spontaneous rupture of the esophagus following severe emesis after non-intubated pulmonary wedge resection

Contact Info

Product

Resources

About