VIDEO-ASSISTED THORACOSCOPIC THYMECTOMY IN MYASTHENIA. A NEW APPROACH
The objective of the study: to perform clinical efficiency assessment of epidural anesthesia combined with an epiglottic airway and auxiliary pulmonary ventilation in video-assisted thoracoscopic thymectomies.Subjects and methods. 9 patients with generalized myasthenia who had video-assisted thoraco...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
New Terra Publishing House
2018-07-01
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| Series: | Вестник анестезиологии и реаниматологии |
| Subjects: | |
| Online Access: | https://www.vair-journal.com/jour/article/view/243 |
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| Summary: | The objective of the study: to perform clinical efficiency assessment of epidural anesthesia combined with an epiglottic airway and auxiliary pulmonary ventilation in video-assisted thoracoscopic thymectomies.Subjects and methods. 9 patients with generalized myasthenia who had video-assisted thoracoscopic thymectomy were examined.Results. The efficient level of analgesia during surgery was confirmed clinically: patients were dry, pink, warm, the diuresis rate made 60 ml/h. Upon the completion of surgery, the patients were recovered in 1-2 minutes on the average. At the same time, the epiglottic airway was removed. The patients were able to walk in the ward without any assistance in 1 hour after surgery. In the post-operative period, on the average, the pain intensity made 1.50 ± 0.87 scores as per VAS. None of the patients needed therapeutic fibrobronchoscopy. No intra-operative or post-operative complications were registered. All 9 patients were transferred to the relevant specialized ward on the day of surgery; 6 (66.7%) went home on the 5th day after surgery, and 3 (33.3%) – on the 6th day.Conclusion. Epidural block combined with an epiglottic airway and auxiliary pulmonary ventilation without tracheal intubation and muscle relaxants in video-assisted thoracoscopic thymectomies is an effective and safe method. |
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| ISSN: | 2078-5658 2541-8653 |