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Combined non‐intubated anaesthesia and paravertebral nerve block in comparison with intubated anaesthesia in children undergoing video‐assisted thoracic surgery

Acta Anaesthesiologica Scandinavica Apr 09, 2020

Wei W, Fan Y, Liu W, et al. - This study was attempted to explore whether non‐intubated anaesthesia combined with paravertebral nerve block (PVNB) can enhance recovery in children undergoing video‐assisted thoracic surgery (VATS). Researchers designed a randomized controlled trial to include 60 individuals aged 3 to 8 years old who had undergone elective VATS. Individuals were assigned randomly to receive non‐intubated anaesthesia combined with PVNB or general anaesthesia with tracheal intubation (1:1 ratio). The primary endpoint included the length of postoperative in‐hospital stay. Emergence time, the incidence of emergence delirium, time to first feeding, time to first out‐of‐bed activity, pain score and in‐hospital complications were considered as secondary endpoints. Although further multi‐centre study is required, the results of this study displayed that non‐intubated anaesthesia combined with PVNB enhances recovery in paediatric patients for video‐assisted thoracic surgery.

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