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VATS (Anaesthetic technique (Analgesia (Less pain than thoracotomy (but…
VATS
Anaesthetic technique
Large bore IV
If massive haemorrhage occurs, the surgeon is often unable to easily gain control of large vessel bleeding without converting to an open thoracotomy
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Monitoring
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Potential for injury to intrathoracic organs, requiring rapid identification and treatment
Analgesia
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LA can be infiltrated at the incision sites and administered into pleural cavity through chest tube after the lung has been re-expanded
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Surgical technique
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A trocar is introduced into the chest cavity after the lung on that side has been selectively collapsed
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Intro
Involves intentionally creating a pneumothorax then introducing an instrument through the chest wall to visualise the intrathoracic structures
Advantages
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VATS procedures may be performed on patients who historically would have been classified as inoperable using a surgical approach