Purpose Of Review: Although there are a lot of studies examining the effects of different blocks for postoperative analgesia after video-assisted thoracic surgery (VATS), the results are controversial.
Recent Findings: Paravertebral block, serratus anterior plane block and erector spinae plane block appear to be effective and beneficial for post-VATS analgesia, but probably in different manners.
Summary: All three blocks can be suggested for daily practice, the choice should be based on personal experience and preference of the anesthetist.
The novel coronavirus pandemic has radically changed the landscape of normal surgical practice. Lifesaving cancer surgery, however, remains a clinical priority, and there is an increasing need to fully define the optimal oncologic management of patients with varying stages of lung cancer, allowing prioritization of which thoracic procedures should be performed in the current era. Healthcare providers and managers should not ignore the risk of a bimodal peak of mortality in patients with lung cancer; an imminent spike due to mortality from acute coronavirus disease 2019 (COVID-19) infection, and a secondary peak reflecting an excess of cancer-related mortality among patients whose treatments were deemed less urgent, delayed, or cancelled.
View Article and Find Full Text PDFTurk Gogus Kalp Damar Cerrahisi Derg
January 2021
Herein, we present a novel method to overcome difficult ventilation in a patient with a carinal tumor. After induction of anesthesia, we observed difficult ventilation due to obstruction of the right main bronchus as a result of herniation of the tumor mass arising from the left bronchial stump. Traditional lung ventilation techniques were not an option under these conditions.
View Article and Find Full Text PDF• Due to COVID-19, compliance of manufactured respirators with standards seems to be placed in the second plan. • Personal protective equipments (PPE), such as respirators, causes carbon dioxide re-breathing in healthcare workers. • Even when resting, both expiratory and inspiratory carbon dioxide levels increase significantly with the use of PPE.
View Article and Find Full Text PDF