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Combined non‐intubated anaesthesia and paravertebral nerve block in comparison with intubated anaesthesia in children undergoing video‐assisted thoracic surgery

Acta Anaesthesiologica Scandinavica Apr 22, 2020

Wei W, Fan Y, Liu W, et al. - Researchers examined if recovery in children undergoing video‐assisted thoracic surgery (VATS) could be enhanced using non‐intubated anaesthesia combined with paravertebral nerve block (PVNB). In this randomized controlled trial, 60 patients (aged 3 to 8 years) underwent elective VATS and were randomly assigned to receive non‐intubated anaesthesia combined with PVNB or general anaesthesia with tracheal intubation (1:1 ratio). Postoperative in‐hospital stay was shorter in the non‐intubated group. The incidence of emergence delirium, emergence time, duration in the PACU, time to first eating food, first out‐of‐bed activity, pain score and consumption of sufentanil (at 6 and 12 hours after surgery) were decreased in the intervention group vs the control group. This suggests that recovery in pediatric patients for video‐assisted thoracic surgery enhances with non‐intubated anaesthesia combined with PVNB.

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