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J Thorac Dis. 2014 Jul;6(7):1007-10. doi: 10.3978/j.issn.2072-1439.2014.06.35.

Nursing for the complete VATS lobectomy performed with non-tracheal intubation.

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1
Operation Room, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.

Abstract

Video-assisted thoracoscopic surgery (VATS) has without doubt been the most important advance in thoracic surgery. The general anesthesia before the tracheal intubation for VATS was often accompanied with tracheal mucosa and lung injuries, which were typically manifested as painful throat, nausea, vomiting, and other symptoms. However, the non-intubated anesthesia VATS can avoid these shortcomings due to its shorter anesthesia time, simpler steps, and quicker post-operative recovery. A total of 63 patients underwent VATS lobectomy under non-intubated anesthesia from July 2012 to July 2013. Good teamwork, proper pre-operative visit, and comfortable intra-operative position had ensured the success of these operations. In conclusion, adequate pre-operative preparation, careful nursing, and close cooperation can achieve a successful non-intubated anesthesia VATS.

KEYWORDS:

Video-assisted thoracoscopic surgery (VATS); anesthesia; clinical nursing; non-intubated anesthesia

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