Thoracoscopic mediastinal exploration with local anesthesia. First case at the Hospital General de México
Thoracoscopy in non-intubated patients is a minimally invasive procedure that allows for performing thoracic procedures without the need for orotracheal intubation. In this article, we describe the case of a patient with renal failure who needed haemodialysis. A Mahurkar catheter was used and, unfor...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Permanyer
2016-10-01
|
| Series: | Revista Médica del Hospital General de México |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0185106316300750 |
| _version_ | 1819160746158718976 |
|---|---|
| author | B. Vargas C.R. Ramos O. Carrillo R.D. Martínez Y.L. Argoti |
| author_facet | B. Vargas C.R. Ramos O. Carrillo R.D. Martínez Y.L. Argoti |
| author_sort | B. Vargas |
| collection | DOAJ |
| description | Thoracoscopy in non-intubated patients is a minimally invasive procedure that allows for performing thoracic procedures without the need for orotracheal intubation. In this article, we describe the case of a patient with renal failure who needed haemodialysis. A Mahurkar catheter was used and, unfortunately, the tip of it was inside the pleural cavity. We decided to remove the catheter by means of a thoracoscopy since there was a possibility of haemorrhage that would need to be controlled. We considered it important to report this case because nowadays it is feasible to perform thoracic surgery without intubation, including complex procedures such as pulmonary biopsy or lobectomy, in carefully selected patients. It is important to mention that it is not possible to use this technique in all cases, but only in carefully selected cases. |
| first_indexed | 2024-12-22T17:01:21Z |
| format | Article |
| id | doaj.art-55dbc629fb714b81be502c708076090f |
| institution | Directory Open Access Journal |
| issn | 0185-1063 |
| language | English |
| last_indexed | 2024-12-22T17:01:21Z |
| publishDate | 2016-10-01 |
| publisher | Permanyer |
| record_format | Article |
| series | Revista Médica del Hospital General de México |
| spelling | doaj.art-55dbc629fb714b81be502c708076090f2022-12-21T18:19:19ZengPermanyerRevista Médica del Hospital General de México0185-10632016-10-0179420620910.1016/j.hgmx.2016.06.012Thoracoscopic mediastinal exploration with local anesthesia. First case at the Hospital General de MéxicoB. Vargas0C.R. Ramos1O. Carrillo2R.D. Martínez3Y.L. Argoti4Head of Unit for Thoracic Surgery and Interventional Pulmonology, Hospital General de México Dr “Eduardo Liceaga”, Mexico City, MexicoAnaesthesiology Coordinator for the Interventional Pulmonology Unit, Hospital General de México Dr “Eduardo Liceaga”, Mexico City, MexicoAnaesthesiologist affiliated with the Interventional Pulmonology Unit, Hospital General de México Dr “Eduardo Liceaga”, Mexico City, MexicoThird-year Resident in General Surgery, Hospital General de México Dr “Eduardo Liceaga”, Mexico City, MexicoThird-year Resident in Anaesthesiology, Hospital General de México Dr “Eduardo iceaga”, Mexico City, MexicoThoracoscopy in non-intubated patients is a minimally invasive procedure that allows for performing thoracic procedures without the need for orotracheal intubation. In this article, we describe the case of a patient with renal failure who needed haemodialysis. A Mahurkar catheter was used and, unfortunately, the tip of it was inside the pleural cavity. We decided to remove the catheter by means of a thoracoscopy since there was a possibility of haemorrhage that would need to be controlled. We considered it important to report this case because nowadays it is feasible to perform thoracic surgery without intubation, including complex procedures such as pulmonary biopsy or lobectomy, in carefully selected patients. It is important to mention that it is not possible to use this technique in all cases, but only in carefully selected cases.http://www.sciencedirect.com/science/article/pii/S0185106316300750Non-intubated patient thoracoscopyLocal anaesthesiaMediastinal explorationSedoanalgesia |
| spellingShingle | B. Vargas C.R. Ramos O. Carrillo R.D. Martínez Y.L. Argoti Thoracoscopic mediastinal exploration with local anesthesia. First case at the Hospital General de México Revista Médica del Hospital General de México Non-intubated patient thoracoscopy Local anaesthesia Mediastinal exploration Sedoanalgesia |
| title | Thoracoscopic mediastinal exploration with local anesthesia. First case at the Hospital General de México |
| title_full | Thoracoscopic mediastinal exploration with local anesthesia. First case at the Hospital General de México |
| title_fullStr | Thoracoscopic mediastinal exploration with local anesthesia. First case at the Hospital General de México |
| title_full_unstemmed | Thoracoscopic mediastinal exploration with local anesthesia. First case at the Hospital General de México |
| title_short | Thoracoscopic mediastinal exploration with local anesthesia. First case at the Hospital General de México |
| title_sort | thoracoscopic mediastinal exploration with local anesthesia first case at the hospital general de mexico |
| topic | Non-intubated patient thoracoscopy Local anaesthesia Mediastinal exploration Sedoanalgesia |
| url | http://www.sciencedirect.com/science/article/pii/S0185106316300750 |
| work_keys_str_mv | AT bvargas thoracoscopicmediastinalexplorationwithlocalanesthesiafirstcaseatthehospitalgeneraldemexico AT crramos thoracoscopicmediastinalexplorationwithlocalanesthesiafirstcaseatthehospitalgeneraldemexico AT ocarrillo thoracoscopicmediastinalexplorationwithlocalanesthesiafirstcaseatthehospitalgeneraldemexico AT rdmartinez thoracoscopicmediastinalexplorationwithlocalanesthesiafirstcaseatthehospitalgeneraldemexico AT ylargoti thoracoscopicmediastinalexplorationwithlocalanesthesiafirstcaseatthehospitalgeneraldemexico |