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)
Por:
Granell-Gil, M, Murcia-Anaya, M, Sevilla, S, Martinez-Plumed, R, Biosca-Perez, E, Cozar-Bernal, F, Garutti, I, Gallart, L, Ubierna-Ferreras, B, Sukia-Zilbeti, I, Galvez-Munoz, C, Delgado-Roel, M, Minguez, L, Bermejo, S, Valencia, O, Real, M, Unzueta, C, Ferrando, C, Sanchez, F, Gonzalez, S, Ruiz-Villen, C, Lluch, A, Hernandez, A, Hernandez-Beslmeisl, J, Vives, M and Vicente, R
Publicada:
1 may 2022
Ahead of Print:
1 may 2022
Resumen:
The introduction of video-assisted thoracoscopic (VATS) techniques has led to a new approach in thoracic surgery. VATS is performed by inserting a thoracoscope through a small incisions in the chest wall, thus maximizing the preservation of muscle and tissue. Because of its low rate of morbidity and mortality, VATS is currently the technique of choice in most thoracic procedures. Lung resection by VATS reduces prolonged air leaks, arrhythmia, pneumonia, postoperative pain and inflammatory markers. This reduction in postoperative complications shortens hospital length of stay, and is particularly beneficial in high-risk patients with low tolerance to thoracotomy.
Compared with conventional thoracotomy, the oncological results of VATS surgery are similar or even superior to those of open surgery.
This aim of this multidisciplinary position statement produced by the thoracic surgery working group of the Spanish Society of Anesthesiology and Reanimation (SEDAR), the Spanish Society of Thoracic Surgery (SECT), and the Spanish Association of Physiotherapy (AEF) is to standardize and disseminate a series of perioperative anaesthesia management guidelines for patients undergoing VATS lung resection surgery. Each recommendation is based on an in-depth review of the available literature by the authors.
In this document, the care of patients undergoing VATS surgery is organized in sections, starting with the surgical approach, and followed by the three pillars of anaesthesia management: preoperative, intraoperative, and postoperative anaesthesia. (C) 2021 Sociedad Espanola de Anestesiologia, Reanimacion y Terapeutica del Dolor. Published by Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
Granell-Gil, M:
Univ Valencia, Consorcio Hosp Gen Univ Valencia, Anestesiol, Secc Anestesiol Reanimac & T Dolor, Valencia, Spain
Murcia-Anaya, M:
Hosp IMED Valencia, Unidad Cuidados Intens, Anestesiol Reanimac & T Dolor, Valencia, Spain
Sevilla, S:
Complejo Hosp Univ Jaen, Soc Cirugia Torac, Jaen, Spain
Martinez-Plumed, R:
Consorcio Hosp Gen Univ Valencia, Anestesiol Reanimac & T Dolor, Valencia, Spain
Biosca-Perez, E:
Consorcio Hosp Gen Univ Valencia, Anestesiol Reanimac & T Dolor, Valencia, Spain
Cozar-Bernal, F:
Hosp Univ Virgen Macarena, Cirugia Torac, Seville, Spain
Garutti, I:
Hosp Univ Gregorio Maranon, Anestesiol Reanimac & T Dolor, Madrid, Spain
Gallart, L:
Univ Autonoma Barcelona, Hosp Mar Barcelona, Anestesiol Reanimac & T Dolor, Barcelona, Spain
Ubierna-Ferreras, B:
Hosp Univ Donostia San Sebastian, Fisioterapia, San Sebastian, Spain
Sukia-Zilbeti, I:
Hosp Univ Donostia San Sebastian, Fisioterapia, San Sebastian, Spain
Galvez-Munoz, C:
Hosp Gen Univ Alicante, Cirugia Torac, Alicante, Spain
Delgado-Roel, M:
Complejo Hosp Univ La Coruna, Cirug Torac, La Coruna, Spain
Minguez, L:
Hosp Univ La Fe Valencia, Anestesiol Reanimac & T Dolor, Valencia, Spain
Bermejo, S:
Univ Autonoma Barcelona, Hosp Mar Barcelona, Anestesiol Reanimac & T Dolor, Barcelona, Spain
Valencia, O:
Hosp Univ Doce Octubre Madrid, Anestesiol Reanimac & T Dolor, Madrid, Spain
Real, M:
Hosp Univ Doce Octubre Madrid, Anestesiol Reanimac & T Dolor, Madrid, Spain
Unzueta, C:
Hosp St Pau Barcelona, Anestesiol Reanimac & T Dolor, Barcelona, Spain
Ferrando, C:
Hosp Clin Univ Barcelona, Anestesiol Reanimac & T Dolor, Barcelona, Spain
:
Hosp Univ La Ribera Alzira, Anestesiol Reanimac & T Dolor, Valencia, Spain
Gonzalez, S:
Hosp Univ Donostia San Sebastian, Anestesiol Reanimac & T Dolor, San Sebastian, Spain
Ruiz-Villen, C:
Hosp Univ Reina Sofia Cordoba, Anestesiol Reanimac & T Dolor, Cordoba, Spain
Lluch, A:
Hosp Univ La Fe Valencia, Anestesiol Reanimac & T Dolor, Valencia, Spain
Hernandez, A:
Grp Policlin Ibiza, Anestesiol Reanimac & T Dolor, Ibiza, Spain
Hernandez-Beslmeisl, J:
Complejo Hosp Univ Canarias, Anestesiol Reanimac & T Dolor, Canarias, Spain
Vives, M:
Hosp Univ Dr Josep Trueta Girona, Anestesiol Reanimac & T Dolor, Girona, Spain
Vicente, R:
Univ Valencia, Hosp Univ La Fe Valencia, Anestesiol Reanimac & T Dolor, Secc Anestesia Cardiaca Vasc & Torac,SEDAR, Valencia, Spain
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