非插管麻醉保留自主呼吸在胸腔镜手术中的应用

Application of Non-Intubated Anesthesia to Preserve Spontaneous Breathing in Thoracoscopic Surgery

随着胸腔镜手术的发展,保留自主呼吸的非插管麻醉逐渐开始应用,其效果和可行性已得到充分证实,对围术期患者快速康复有着诸多优势。但由于保留自主呼吸非插管麻醉在胸腔镜手术中的安全性尚未得到大样本临床研究的充分证实,其手术及麻醉风险亦不容忽视。本文将对保留自主呼吸非插管麻醉下胸腔镜手术的发展历程、手术方式及术中管理进行综述。

With the development of thoracoscopic surgery, non-intubated spontaneous ventilative vid-eo-assisted thoracic surgery (VATS) is gradually being applied, and its effectiveness and feasibility have been fully confirmed, which has many advantages for rapid recovery of perioperative patients. However, due to the lack of sufficient evidence from large-scale clinical studies on the safety of non-intubated spontaneous ventilative VATS, its surgical and anesthesia risks cannot be ignored. This article will provide a review of the development, surgical methods, and intraoperative man-agement of non-intubated spontaneous ventilative VATS.