摘要
背景电视胸腔镜手术（video_assisted thoracoscopic surgery，VATs）应用传统气管插管全身麻醉机械通气引起的气道损伤及急性肺损伤等并发症影响患者术后．恢复和生活质量。近年来非气管插管麻醉行VATS的安全性及可行性受到胸外科医师和麻醉医师的广泛关注。目的推进对于VATS期间应用非气管插管麻醉的认识和应用。内容回顾近年来国内外关于非气管插管麻醉下行VATS治疗胸科疾病的临床研究情况，总结其安全性、可行性及相对于传统方式的优势和目前存在的问题。趋向非气管插管麻醉作为一项新技术在VATS中的应用亟待更多的临床研究。
Background Video-assisted thoracoscopic surgery （VATS） which is conventionally performed under tracheal intubation with double lumen tube to achieve single lung ventilation has many complications and adverse effects following intubated general anesthesia and one-lung ventilation are inevitable, including intubation-related airway trauma ventilation-induced lung injury etc, affecting the recovery and quality of life of those patients. Recently, VATS without tracheal intubation has been extensively performed and evaluated. Objective To promote the cognition and application of non-intubated anesthesia during VATS in recent years. Content Review the clinical researches and applications of nonintubated VATS in thoracic diseases, evaluate the safety, feasibility and advantages compared to the traditional approach. Trend As a new technology in the VATS, non-intubated anesthesia is in urgent need for more clinical research.
出处
《国际麻醉学与复苏杂志》
CAS
2016年第3期255-258,288,共5页
International Journal of Anesthesiology and Resuscitation
基金
广东省自然科学基金（s2013010011516）
关键词
非气管插管麻醉
电视胸腔镜手术
Non-intubated Anesthesia
Video-assisted thoracoscopic surgery
