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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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2018-07-01
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| Series: | Вестник анестезиологии и реаниматологии |
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| Online Access: | https://www.vair-journal.com/jour/article/view/243 |
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| author | V. A. Zhikhаrev V. A. Porkhаnov V. A. Koryachkin Yu. P. Mаlyshev V. V. Dаnilov |
| author_facet | V. A. Zhikhаrev V. A. Porkhаnov V. A. Koryachkin Yu. P. Mаlyshev V. V. Dаnilov |
| author_sort | V. A. Zhikhаrev |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-dd082e421cab4538a72d875c47a48321 |
| institution | Kabale University |
| issn | 2078-5658 2541-8653 |
| language | Russian |
| publishDate | 2018-07-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Вестник анестезиологии и реаниматологии |
| spelling | doaj-art-dd082e421cab4538a72d875c47a483212025-08-20T03:42:45ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532018-07-01153141910.21292/2078-5658-2018-15-3-14-19234VIDEO-ASSISTED THORACOSCOPIC THYMECTOMY IN MYASTHENIA. A NEW APPROACHV. A. Zhikhаrev0V. A. Porkhаnov1V. A. Koryachkin2Yu. P. Mаlyshev3V. V. Dаnilov4S. V. Ochapovsky Research Institute – Regional Clinical Hospital no. 1S. V. Ochapovsky Research Institute – Regional Clinical Hospital no. 1I. I. Mechnikov Northern-Western Medical UniversityKuban State Medical UniversityS. V. Ochapovsky Research Institute – Regional Clinical Hospital no. 1The 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.https://www.vair-journal.com/jour/article/view/243video-assisted thoracoscopic surgeriesmyastheniathymectomyepidural anesthesiaepiglottic airway |
| spellingShingle | V. A. Zhikhаrev V. A. Porkhаnov V. A. Koryachkin Yu. P. Mаlyshev V. V. Dаnilov VIDEO-ASSISTED THORACOSCOPIC THYMECTOMY IN MYASTHENIA. A NEW APPROACH Вестник анестезиологии и реаниматологии video-assisted thoracoscopic surgeries myasthenia thymectomy epidural anesthesia epiglottic airway |
| title | VIDEO-ASSISTED THORACOSCOPIC THYMECTOMY IN MYASTHENIA. A NEW APPROACH |
| title_full | VIDEO-ASSISTED THORACOSCOPIC THYMECTOMY IN MYASTHENIA. A NEW APPROACH |
| title_fullStr | VIDEO-ASSISTED THORACOSCOPIC THYMECTOMY IN MYASTHENIA. A NEW APPROACH |
| title_full_unstemmed | VIDEO-ASSISTED THORACOSCOPIC THYMECTOMY IN MYASTHENIA. A NEW APPROACH |
| title_short | VIDEO-ASSISTED THORACOSCOPIC THYMECTOMY IN MYASTHENIA. A NEW APPROACH |
| title_sort | video assisted thoracoscopic thymectomy in myasthenia a new approach |
| topic | video-assisted thoracoscopic surgeries myasthenia thymectomy epidural anesthesia epiglottic airway |
| url | https://www.vair-journal.com/jour/article/view/243 |
| work_keys_str_mv | AT vazhikharev videoassistedthoracoscopicthymectomyinmyastheniaanewapproach AT vaporkhanov videoassistedthoracoscopicthymectomyinmyastheniaanewapproach AT vakoryachkin videoassistedthoracoscopicthymectomyinmyastheniaanewapproach AT yupmalyshev videoassistedthoracoscopicthymectomyinmyastheniaanewapproach AT vvdanilov videoassistedthoracoscopicthymectomyinmyastheniaanewapproach |