Pediatric anesthesia & critical care
Feasibility and Safety of Nonintubated Anesthesia in Pediatric Video-assisted Thoracoscopic Surgery: A Preliminary Report
Authors' conclusion
Nonintubated anesthesia demonstrates both feasibility and safety in pediatric thoracoscopic surgery, representing a valuable addition to contemporary anesthetic practice.
Study context
- Population
- Pediatric patients undergoing video-assisted thoracoscopic surgery (pulmonary sequestration, congenital cystic adenomatoid malformation, mediastinal mass, pectus excavatum), April 2024 to April 202594 identified
- Participants
- 92 patients
- Exposure
- Nonintubated GA vs GA with endotracheal intubation
- Outcome
- Conversion rate from LMA to endotracheal intubation
Methodological detailssingle-centre, tertiary teaching hospital, historical comparison
- Single-centre
- Tertiary teaching hospital
- Historical comparison
Main finding
As reported in the abstract
Conversion rate from LMA to ETT
Conversion rate from LMA to endotracheal intubation
2.1%
2/94
Observational data: associations, not effects.
Secondary outcomes
Comparison with historical data: extubation time, PPCs, postoperative hospital LOS
- Historical comparison suggested reduced extubation time, decreased PPCs and shorter postoperative hospital stay with nonintubated anesthesia
Safety
Perioperative safety: surgical field view, vital signs, postoperative pain score, nausea and vomiting
- Clinically acceptable results across multiple parameters
Original publication
Feasibility and Safety of Nonintubated Anesthesia in Pediatric Video-assisted Thoracoscopic Surgery: A Preliminary Report. J Cardiothorac Vasc Anesth. Published 5 July 2025. doi:10.
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