scholarly journals Evaluation of acute and chronic pain outcomes after robotic, video-assisted thoracoscopic surgery, or open anatomic pulmonary resection

2017 ◽  
Vol 154 (2) ◽  
pp. 652-659.e1 ◽  
Author(s):  
Sebastian T. Kwon ◽  
Lili Zhao ◽  
Rishindra M. Reddy ◽  
Andrew C. Chang ◽  
Mark B. Orringer ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Pulmonary Resection ◽  
Thoracoscopic Surgery ◽  
Video Assisted ◽  
Pain Outcomes ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Non-intubated video-assisted thoracoscopic surgery for pulmonary resection in children

2021 ◽  
pp. 102015
Author(s):  
Sira Laohathai ◽  
Chompunoot Pathonsamit ◽  
Daranee Isaranimitkul ◽  
Pornsiri Wannadilok ◽  
Sujaree Poopipatpab ◽  
...  
Keyword(s):  
Pulmonary Resection ◽  
Thoracoscopic Surgery ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Postoperative analgesia after pulmonary resection with a focus on video-assisted thoracoscopic surgery

2017 ◽  
Vol 53 (5) ◽  
pp. 932-938 ◽  
Author(s):  
Marzia Umari ◽  
Valentina Carpanese ◽  
Valeria Moro ◽  
Gaia Baldo ◽  
Stefano Addesa ◽  
...  
Keyword(s):  
Postoperative Analgesia ◽  
Pulmonary Resection ◽  
Thoracoscopic Surgery ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Incidence and Risk Factors for Chronic Postsurgical Pain Following Video-assisted Thoracoscopic Surgery: a Retrospective Study

2021 ◽  
Author(s):  
Yingying Zhang ◽  
Rong Zhou ◽  
Bailing Hou ◽  
Suhong Tang ◽  
Jing Hao ◽  
...  
Keyword(s):  
Risk Factors ◽  
Chronic Pain ◽  
Thoracoscopic Surgery ◽  
Rescue Analgesia ◽  
Postsurgical Pain ◽  
Video Assisted ◽  
Chronic Postsurgical Pain ◽  
Severe Chronic Pain ◽  
Independent Risk Factors ◽  
Video Assisted Thoracoscopic Surgery

Abstract Backgroud: Video-assisted thoracoscopic surgery (VATS) has been widely used as an alternative for thoracotomy, but the reported incidence of chronic postsurgical pain (CPSP) following VATS varied widely. The purpose of this study was to investigate the incidence and risk factors for CPSP after VATS. Methods: We retrospectively collected preoperative demographic, anesthesiology, and surgical factors in a cohort of patients undergoing VATS between January 2018 and October 2020. Patients were interviewed via phone survey for pain intensity, and related medical treatment 3 months after VATS. Univariate and multivariate analysis were used to explore independent risk factors associated with CPSP.Results: 2,348 patients were included in our study. The incidence of CPSP after VATS were 43.99% (n = 1,033 of 2,348). Within those suffering CPSP, 14.71% (n = 152 of 1,033) patients reported moderate or severe chronic pain. Only 15.23% (n = 23 of 152) patients with moderate to severe chronic pain sought active analgesic therapies. According to multivariable analysis, age ＜ 65 years (OR 1.278, 95% CI 1.057-1.546, P = 0.011), female (OR 1.597, 95% CI 1.344-1.898, P < 0.001), education level less than junior school (OR 1.295, 95% CI 1.090-1.538, P = 0.003), preoperative pain (OR 2.564, 95% CI 1.696-3.877, P < 0.001), consumption of rescue analgesia postoperative (OR 1.248, 95% CI 1.047-1.486, P = 0.013), consumption of sedative hypnotic postoperative (OR 2.035, 95% CI 1.159-3.574, P = 0.013), subcutaneous emphysema of chest wall postoperative (OR 1.255, 95% CI 1.000-1.575, P = 0.050), and history of postoperative wound infection (OR 5.949, 95% CI 1.344-1.898, P < 0.001) were independent risk factors for CPSP development.Conclusions: CPSP remains a challenge in clinic because half of patients may develop CPSP after VATS. Trial registration: Chinese Clinical Trial Registry (ChiCTR2100045765), 2021/04/24

scholarly journals Paravertebral Dexmedetomidine in VideoAssisted Thoracic Surgeries for Acute and Chronic Pain Prevention

2019 ◽  
Vol 3 (22;3) ◽  
pp. 271-280
Author(s):  
Emad Zarief Kamel
Keyword(s):  
Chronic Pain ◽  
Postoperative Pain ◽  
Thoracoscopic Surgery ◽  
Pain Scale ◽  
Paravertebral Block ◽  
The Third ◽  
Video Assisted ◽  
Group I ◽  
Group Ii ◽  
Video Assisted Thoracoscopic Surgery

Background: Video-assisted thoracoscopic surgery (VATS) is considered as one of the minimally invasive surgeries. Early postoperative pain alleviation is very important to avoid complications, at the same time, proper early pain control is an established fact to decrease the incidence of chronic pain. Objectives: To evaluate the efficacy of thoracic paravertebral block (PVB) by a bupivacaine/ dexmedetomidine mixture on acute and chronic post-thoracoscopic surgery pain in patients undergoing VATS. Study Design: A randomized prospective double-blinded trial. Setting: Assiut University Hospitals, Orman Cardiology Hospital. Methods: Sixty adult patients underwent elective VATS surgery under general anesthesia randomly allocated into 2 groups; Group I received thoracic PVB with isobaric bupivacaine 0.5% (0.3 mL/ kg) and Group II received PVB with isobaric bupivacaine 0.5% (0.3 mL/kg) and dexmedetomidine (1 mcg/kg). Postoperative pain (at rest, with cough, and with movement) was assessed through a visual analog scale (VAS) every 30 minutes in the first 2 hours, then at the second, fourth, eighth, and 24th hours. Time to first analgesia request and consumption of intravenous rescue analgesia (ketorolac tromethamine 30 mg/dose) was recorded. Follow-up of the patients regarding the incidence of chronic post-thoracoscopic pain by the end of the third and sixth months after the procedure was reviewed through the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) pain scale. Results: VAS score was significantly lower in Group II during the early postoperative 90 minute records. Pain with cough and with movement persisted to be significantly lower in Group II up to the second postoperative hour. Time to first analgesia requirement was significantly longer in Group II in comparison to Group (P < 0.001). There was less ketorolac consumption in Group II than in Group I (P = 0.002). At the third month, Group II showed significantly lower incidence of LANSS pain scale than Group I (P = 0.04). Limitations: There was the heterogeneity of surgical procedures in the patients. Conclusions: Dexmedetomidine as an adjuvant to bupivacaine PVB offers better pain relief during the early postoperative hours, and it carries a favorable effect on chronic postoperative pain. Clinical trial registry number: NCT03632161. Key words: Dexmedetomidine, paravertebral block, video-assisted thoracoscopic surgery, postoperative pain, chronic pain

scholarly journals Ways to improve the integrity of lung injuries during video-assisted thoracoscopic surgery

2011 ◽  
Vol 4 (1) ◽  
pp. 63-66
Author(s):  
Anton Aleksandrovich Tepikin ◽  
Evgeny Anatolievich Korymasov ◽  
Andrey Konstantinovich Pismennyy
Keyword(s):  
Postoperative Period ◽  
Pulmonary Resection ◽  
Thoracoscopic Surgery ◽  
Pulmonary Tissue ◽  
Differential Approach ◽  
Video Assisted ◽  
Lung Injuries ◽  
Mechanical Suture ◽  
Atypical Resection ◽  
Video Assisted Thoracoscopic Surgery

The aim of the work was to improve the results of pulmonary resection by developing and implementing ways of sealing the wounds of biological adhesives, and drugs. Were analyzed the results of applying additional methods sealing line of manual and mechanical suture after atypical resection of the lung. Methods of aerial and hemostasis are particularly necessary for emphysematous changes in pulmonary tissue. Application of differential approach to the choice of sealing the seam line to reduce the number of complications in the postoperative period.

scholarly journals Handling vascular bleeding without conversion during video-assisted thoracoscopic surgery major pulmonary resection

2018 ◽  
Vol 6 (18) ◽  
pp. 363-363
Author(s):  
Chenglin Guo ◽  
Jiandong Mei ◽  
Lin Ma ◽  
Qiang Pu ◽  
Chengwu Liu ◽  
...  
Keyword(s):  
Pulmonary Resection ◽  
Thoracoscopic Surgery ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery
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