From "awake" to "monitored anesthesia care" thoracic surgery: A 15 year evolution

Thoracic Cancer
Tommaso Claudio Mineo, Federico Tacconi

Abstract

Although general anesthesia still represents the standard when performing thoracic surgery, the interest toward alternative methods is increasing. These have evolved from the employ of just local or regional analgesia techniques in completely alert patients (awake thoracic surgery), to more complex protocols entailing conscious sedation and spontaneous ventilation. The main rationale of these methods is to prevent serious complications related to general anesthesia and selective ventilation, such as tracheobronchial injury, acute lung injury, and cardiovascular events. Trends toward shorter hospitalization and reduced overall costs have also been indicated in preliminary reports. Monitored anesthesia care in thoracic surgery can be successfully employed to manage diverse oncologic conditions, such as malignant pleural effusion, peripheral lung nodules, and mediastinal tumors. Main non-oncologic indications include pneumothorax, emphysema, pleural infections, and interstitial lung disease. Furthermore, as the familiarity with this surgical practice has increased, major operations are now being performed this way. Despite the absence of randomized controlled trials, there is preliminary evidence that monitored anesthesia care pro...Continue Reading

References

Sep 1, 1987·American Journal of Surgery·V W Rusch, C Mountain
Jan 1, 1985·Annals of Biomedical Engineering·J R Axe, P H Abbrecht
Jan 1, 1995·Annales Françaises D'anesthèsie Et De Rèanimation·S MolliexJ M Desmonts
Oct 1, 1996·Anesthesiology·D O WarnerE L Ritman
Jul 27, 1999·Anaesthesia·M H GohY S Goh
Apr 17, 2002·Journal of Cardiothoracic and Vascular Anesthesia·Thierry GuenounDenis Safran
Nov 21, 2002·The Annals of Thoracic Surgery·Erino A RendinaG Furio Coloni
Feb 13, 2003·Journal of Clinical Monitoring and Computing·H Groeben
Nov 25, 2003·Anesthesia and Analgesia·Marc LickerJean-Marie Tschopp
Oct 30, 2004·The Annals of Thoracic Surgery·Eugenio PompeoTommaso C Mineo
Dec 2, 2004·World Journal of Surgery·Yoshio TsunezukaGo Watanabe
Mar 3, 2005·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·P MisthosI Skottis
Mar 15, 2005·Chest·Carolyn M DreslerUNKNOWN Radiation Therapy Oncology Group
Sep 30, 2005·Anesthesia and Analgesia·Thomas SchillingThomas Hachenberg
Nov 25, 2005·The Annals of Thoracic Surgery·Federico TacconiTommaso C Mineo
Dec 24, 2005·Annals of Surgery·Tommaso Claudio MineoAlessandro Fabrizio Sabato
Feb 16, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Panagiotis MisthosIoannis Skottis
Aug 16, 2006·Seminars in Respiratory and Critical Care Medicine·John A BelperioRobert M Strieter
Aug 19, 2006·ANZ Journal of Surgery·Motoki SakurabaHikotaro Komatsu
Aug 29, 2006·The Journal of Thoracic and Cardiovascular Surgery·Ya-Jung ChengChen-Jung Lin
Oct 31, 2006·Journal of Anesthesia·Harald Groeben
Nov 23, 2006·The Journal of Surgical Research·Kingsley YinManucher Fallahnejad
Nov 23, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alessandro StefaniUliano Morandi
Dec 13, 2006·The Journal of Surgical Research·Esin YuluğHaluk Arvas
Jan 26, 2007·The European Respiratory Journal·N NasreenV B Antony
Feb 20, 2007·The Annals of Thoracic Surgery·Mary Elizabeth KreiderJoseph B Shrager
Feb 27, 2007·The Journal of Thoracic and Cardiovascular Surgery·Eugenio PompeoTommaso Claudio Mineo
May 1, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Tommaso Claudio Mineo
Jun 15, 2007·Critical Care : the Official Journal of the Critical Care Forum·Lucio A PavoneGary F Nieman
Jun 21, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Mohammad Al-AbdullatiefNizar Yamani
Jul 31, 2007·The Journal of Thoracic and Cardiovascular Surgery·Celal TekinbasMurat Topbas
Aug 3, 2007·Interactive Cardiovascular and Thoracic Surgery·Tanel LaisaarTriin Umbleja
Dec 1, 1923·Annals of Surgery·G J Heuer
Oct 2, 2007·The Journal of Thoracic and Cardiovascular Surgery·Themistocles P ChamogeorgakisIoannis K Toumpoulis
Jan 29, 2008·The Annals of Thoracic Surgery·Mark J Krasna
Mar 11, 2008·The Journal of Thoracic and Cardiovascular Surgery·Patrick S WolfMichael S Mulligan
May 6, 2008·Anesthesiology Clinics·John W W Gothard
May 22, 2008·Diagnostic and Therapeutic Endoscopy·H J SmitP E Postmus

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Citations

Jul 6, 2014·The Annals of Thoracic Surgery·Tommaso Claudio MineoFrancesco Sellitri
Mar 18, 2016·Interactive Cardiovascular and Thoracic Surgery·Han-Yu DengLong-Qi Chen
Oct 1, 2016·Future Oncology·Tommaso C MineoVincenzo Ambrogi
Jul 8, 2017·International Journal of Molecular Sciences·Tommaso Claudio MineoVincenzo Ambrogi
Jan 24, 2017·Pharmacogenomics·Raffaele PalmirottaFranco Silvestris
Feb 20, 2016·Future Oncology·Ivana Sullivan, David Planchard
Feb 19, 2020·Regional Anesthesia and Pain Medicine·Chitaru KuriharaAnkit Bharat
Dec 13, 2018·Current Opinion in Anaesthesiology·Ming-Hui HungYa-Jung Cheng
Jan 13, 2021·General Thoracic and Cardiovascular Surgery·József Furák, Zsolt Szabó
Mar 27, 2021·Journal of Chest Surgery·Federico TacconiVincenzo Ambrogi

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