Title of article :
Comparative Study between General Anesthesia and Awake Thoracic Epidural Anesthesia for Video-Assisted Thoracoscopic Surgery
Author/Authors :
EL-SHAIKH, SOMAYA M. Cairo University - National Cancer Institute - Department of Anesthesia, Intensive Care Pain Relief, Egypt , IBRAHEM, WAEL A. Cairo University - National Cancer Institute - Department of Anesthesia, Intensive Care Pain Relief, Egypt , ABED, SAYED M. Cairo University - National Cancer Institute - Department of Anesthesia, Intensive Care Pain Relief, Egypt , ABD EL-RAHMAN, ABD EL-RAHMAN A. Cairo University - National Cancer Institute - Department of Thoracic Surgical Oncology, Egypt , EL-KHALEK, USAMA ABDEL Cairo University - National Cancer Institute - Department of Anesthesia, Intensive Care Pain Relief, Egypt
Abstract :
Background: This study evaluated the safety and feasibility of awake thoracic surgery under Thoracic Epidural Anesthesia (TEA) vs. a traditional thoracic surgery under General Aneasthesia (GA).Methods: Thirty patients scheduled for thoracic surgery were randomly assigned to receive either sole TEA at any level between T4-T6 with sedation (awake group [AG], n=15) or receive GA with One Lung Ventilation (OLV) and thoracic epidural analgesia (control group [CG], n=15). Evaluated variables included the technical feasibility and patient satisfaction for both techniques.Results: The study groups as regards technical feasibility and anesthesia satisfaction, showed more patient satisfaction in the awake group than the general anaesthesia group.Conclusions: Awake thoracic surgery under TEA in highly selected patients and procedures is safe, satisfactory, and technically feasible, than the same procedures performed under GA.
Keywords :
Thoracic surgery , Thoracic epidural anesthesia , Video , assisted thoracoscopic surgery
Journal title :
The Medical Journal of Cairo University
Journal title :
The Medical Journal of Cairo University
