The minimally invasive thoracic surgery patient is intubated an approach that aims to further reduce aggression which represents the surgery and anesthetic, in order to produce a lower response of our body to such aggression, and avoid potential complications of what until now has been considered standard for a procedure this type.
The intubation is considered years needed to maintain proper oxygenation of the same and to, in turn, produce a collapse (shrinkage) of the lung that is to operate at a certain time, and requires mechanical ventilation artificially assisted. This technique reduces the aggression of the surgery to a minimum, avoiding intubation and mechanical ventilation, performing surgery while breathing spontaneously under deep sedation.
It is a technique available only in highly selected patients, since there are a number of contraindications that have be taken into account before use.
Thoracic surgery procedure in patient intubated and advantages of the technique
During surgery , the patient is without an orotracheal tube l, spontaneously breathing while sleeping under deep sedation effects, sometimes assisted by devices that improve the oxygenation of the blood, such as face masks or nasal prongs. The patient is not aware of anything because of the level of sedation, although it maintains your breathing spontaneously, while very narrowly monitored his vitals. After intervention is not necessary to recover from a classic general anesthesia (which included muscle relaxation) but only a deep sedation, and avoided the aggression that the endotracheal tube means on the inside of our trachea and our bronchi, and the effect of mechanical ventilation on our lungs.
This innovative anesthetic management reduces risks from mechanical ventilation and intubation, and has been shown to reduce postoperative complications and speed recovery of patients compared with traditional management.
The combination of this anesthetic management with single-incision approach for VATS (video - assisted single - incision) constitutes today, the minimum aggression more thoracic surgery and especially in lung cancer surgery. Surgery in non - intubated patient is not available in any facility that has services of Thoracic Surgery , and requires specific training and learning, as well as a close collaboration between anesthesiologists, surgeons and nurses.
CITMIA offers in its portfolio of minimally invasive surgery the possibility of intervention for patients who meet the inclusion criteria to perform the surgical procedure under this groundbreaking management technique ventilation and oxygenation.
Edited by Patricia Crespo Pujante