Anaes Vivas · Thoracic anaesthesia
VATS lobectomy anaesthesia and postoperative analgesia — viva
Structured oral examination station for vats-lobectomy-analgesia.
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Study tools
Target exams
ANZCAFRCAEDAICABAFCAI
Prompt
List analgesia options for VATS lobectomy and defend your first choice.
Options (5 min)
TEA versus PVB versus fascial planes versus systemic: Wu (176 patients, similar rest/cough scores, less hypotension and retention with PVB) against Yeap (epidural superior on movement pain and 24–72 h opioids; single-shot PVB equals catheter); PROSPECT first-choice paravertebral or ESP, SAP second-choice, opioids rescue.
[1] [2] [4]References5ShowHide
- [1]Wu Z et al. Paravertebral vs Epidural Anesthesia for Video-assisted Thoracoscopic Surgery: A Randomized Trial. Annals of Thoracic Surgery, 2023.PMID 37573993
- [2]Yeap YL et al. Randomized Prospective Study Evaluating Single-Injection Paravertebral Block, Paravertebral Catheter, and Thoracic Epidural Catheter for Postoperative Regional Analgesia After Video-Assisted Thoracoscopic Surgery. Journal of Cardiothoracic and Vascular Anesthesia, 2020.PMID 32144059
- [3]Brassard CL et al. Step-by-step clinical management of one-lung ventilation: continuing professional development. Canadian Journal of Anesthesia, 2014.PMID 25389025
- [4]Feray S et al. PROSPECT guidelines for video-assisted thoracoscopic surgery: a systematic review and procedure-specific postoperative pain management recommendations. Anaesthesia, 2022.PMID 34739134
- [7]El Tahan MR et al. Impact of Lower Tidal Volumes During One-Lung Ventilation: A 2022 Update of the Meta-analysis of Randomized Controlled Trials. Journal of Cardiothoracic and Vascular Anesthesia, 2023.PMID 37225546