Italian survey on non-intubated thoracic surgery: results from INFINITY group
Abstract Background Non-Intubated Thoracic Surgery (NITS) is becoming increasingly adopted all over the world. Although it is mainly used for pleural operations,, non-intubated parenchymal lung surgery has been less frequently reported. Recently, NITS utilization seems to be increased also in Italy,...
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| Format: | Article |
| Language: | English |
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BMC
2022-01-01
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| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-021-01514-3 |
| _version_ | 1818750271804669952 |
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| author | Giulio Luca Rosboch Federica Giunta Edoardo Ceraolo Federico Piccioni Francesco Guerrera Eleonora Balzani Alessandro Pardolesi Paolo Albino Ferrari Davide Tosi Marco Rispoli Giudo Di Gregorio Ruggero Massimo Corso Roberto Crisci |
| author_facet | Giulio Luca Rosboch Federica Giunta Edoardo Ceraolo Federico Piccioni Francesco Guerrera Eleonora Balzani Alessandro Pardolesi Paolo Albino Ferrari Davide Tosi Marco Rispoli Giudo Di Gregorio Ruggero Massimo Corso Roberto Crisci |
| author_sort | Giulio Luca Rosboch |
| collection | DOAJ |
| description | Abstract Background Non-Intubated Thoracic Surgery (NITS) is becoming increasingly adopted all over the world. Although it is mainly used for pleural operations,, non-intubated parenchymal lung surgery has been less frequently reported. Recently, NITS utilization seems to be increased also in Italy, albeit there are no multi-center studies confirming this finding. The objective of this survey is to assess quantitatively and qualitatively the performance of NITS in Italy. Methods In 2018 a web-based national survey on Non-Intubated management including both thoracic surgeons and anesthesiologists was carried out. Reference centers have been asked to answer 32 questions. Replies were collected from June 26 to November 31, 2019. Results We raised feedbacks from 95% (55/58) of Italian centers. Seventy-eight percent of the respondents perform NITS but only 38% of them used this strategy for parenchymal surgery. These procedures are more frequently carried out in patients with severe comorbidities and/or with poor lung function. Several issues as obesity, previous non-invasive ventilation and/or oxygen therapy are considered contraindications to NITS. The regional anesthesia technique most used to provide intra- and postoperative analgesia was the paravertebral block (37%). Conversion to general anesthesia is not anecdotal (31% of answerers). More than half of the centers believed that NITS may reduce postoperative intensive care unit admissions. Approximately a quarter of the centers are conducting trials on NITS and, three quarters of the respondent suppose that the number of these procedures will increase in the future. Conclusions There is a growing interest in Italy for NITS and this survey provides a clear view of the national management framework of these procedures. |
| first_indexed | 2024-12-18T04:17:02Z |
| format | Article |
| id | doaj.art-95bb5be9d1744671ae41c68151234421 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-12-18T04:17:02Z |
| publishDate | 2022-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-95bb5be9d1744671ae41c681512344212022-12-21T21:21:19ZengBMCBMC Anesthesiology1471-22532022-01-012211910.1186/s12871-021-01514-3Italian survey on non-intubated thoracic surgery: results from INFINITY groupGiulio Luca Rosboch0Federica Giunta1Edoardo Ceraolo2Federico Piccioni3Francesco Guerrera4Eleonora Balzani5Alessandro Pardolesi6Paolo Albino Ferrari7Davide Tosi8Marco Rispoli9Giudo Di Gregorio10Ruggero Massimo Corso11Roberto Crisci12Department of Anesthesia and Intensive Care, AOU Città della Salute e della ScienzaDepartment of Surgical Science, Anesthesia and Intensive Care Unit, University of TurinDepartment of Anesthesia and Intensive Care, AOU Città della Salute e della ScienzaDepartment of Critical and Supportive Care, Fondazione IRCCS Istituto Nazionale dei TumoriDepartment of Surgical Sciences, Thoracic Surgery Unit, University of TurinDepartment of Surgical Science, Anesthesia and Intensive Care Unit, University of TurinDivision of Thoracic Surgery, Foundation IRCCS National Cancer Institute of MilanDivision of Thoracic Surgery, A. Businco Cancer Center, Azienda Ospedaliera BrotzuDivision of Thoracic Surgery, Fondazione IRCCS Ca’ Granda Ospedale Maggiore PoliclinicoUnit of Anestesiology and Intensive Care, Vincenzo Monaldi HospitalUnit of Anestesiology and Intensive Care, ULSS6 Euganea Ospedale di Cittadella (PD)Department of Surgery, Anesthesia and Intensive Care Section, “G.B. Morgagni-Pierantoni” HospitalThoracic Surgery, University of L’AquilaAbstract Background Non-Intubated Thoracic Surgery (NITS) is becoming increasingly adopted all over the world. Although it is mainly used for pleural operations,, non-intubated parenchymal lung surgery has been less frequently reported. Recently, NITS utilization seems to be increased also in Italy, albeit there are no multi-center studies confirming this finding. The objective of this survey is to assess quantitatively and qualitatively the performance of NITS in Italy. Methods In 2018 a web-based national survey on Non-Intubated management including both thoracic surgeons and anesthesiologists was carried out. Reference centers have been asked to answer 32 questions. Replies were collected from June 26 to November 31, 2019. Results We raised feedbacks from 95% (55/58) of Italian centers. Seventy-eight percent of the respondents perform NITS but only 38% of them used this strategy for parenchymal surgery. These procedures are more frequently carried out in patients with severe comorbidities and/or with poor lung function. Several issues as obesity, previous non-invasive ventilation and/or oxygen therapy are considered contraindications to NITS. The regional anesthesia technique most used to provide intra- and postoperative analgesia was the paravertebral block (37%). Conversion to general anesthesia is not anecdotal (31% of answerers). More than half of the centers believed that NITS may reduce postoperative intensive care unit admissions. Approximately a quarter of the centers are conducting trials on NITS and, three quarters of the respondent suppose that the number of these procedures will increase in the future. Conclusions There is a growing interest in Italy for NITS and this survey provides a clear view of the national management framework of these procedures.https://doi.org/10.1186/s12871-021-01514-3Non-intubated thoracic surgeryVideo-assisted thoracic surgerySurvey |
| spellingShingle | Giulio Luca Rosboch Federica Giunta Edoardo Ceraolo Federico Piccioni Francesco Guerrera Eleonora Balzani Alessandro Pardolesi Paolo Albino Ferrari Davide Tosi Marco Rispoli Giudo Di Gregorio Ruggero Massimo Corso Roberto Crisci Italian survey on non-intubated thoracic surgery: results from INFINITY group BMC Anesthesiology Non-intubated thoracic surgery Video-assisted thoracic surgery Survey |
| title | Italian survey on non-intubated thoracic surgery: results from INFINITY group |
| title_full | Italian survey on non-intubated thoracic surgery: results from INFINITY group |
| title_fullStr | Italian survey on non-intubated thoracic surgery: results from INFINITY group |
| title_full_unstemmed | Italian survey on non-intubated thoracic surgery: results from INFINITY group |
| title_short | Italian survey on non-intubated thoracic surgery: results from INFINITY group |
| title_sort | italian survey on non intubated thoracic surgery results from infinity group |
| topic | Non-intubated thoracic surgery Video-assisted thoracic surgery Survey |
| url | https://doi.org/10.1186/s12871-021-01514-3 |
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