Work

Advances in the use of non-intubated spontaneous-ventilation video-assisted thoracoscopic surgery

Year: 2025

Type: article

Abstract: With the advancement of Enhanced Recovery After Surgery (ERAS), minimally invasive thoracoscopic surgery has gained widespread clinical adoption owing to its reduced trauma and faster recovery compared to traditional open chest procedures. Thoracoscopic surgery has evolved from initial three-port and two-port techniques to single-port non-intubated approaches, which preserve spontaneous breathing while minimizing trauma and accelerating recovery. NIVATS represents a groundbreaking advancement in thoracic surgery and anesthesia by innovatively avoiding endotracheal intubation and mechanical ventilation, thereby challenging conventional surgical approaches. This paper reviews the research progress on the anesthesia techniques, indications, and contraindications of Non-Intubated Spontaneous-Ventilation Video-Assisted Thoracoscopic Surgery (NIVATS), discussing its advantages compared to traditional surgical methods, its application in thoracic diseases, as well as the risks and management of NIVATS.

Source: Frontiers in Surgery

DOI: 10.3389/fsurg.2025.1584017

Authors: Kai Huang, Zhanjun Zhang, Teng Hu, Linfeng Qiao

Institution: Henan Medical University

Language: English

Topic: Airway Management and Intubation Techniques

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801