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PHYSIOLOGY
Speaker:
Ying-Ju, Liu, M.D.
Topic: Physiology
in Non-intubated VATS
Institution:
Department of Anesthesia NTUH Taipei TW
e-mail:
athenawings@gmail.com
Abstract
Nonintubated
video-assisted thoracoscopic surgery(VATS)] is an emerging treatment
modality for a wide variety of thoracic procedures. Under
nonintubated VATS, the patients are able to breath spontaneously
therefore FRC is better reserved. By surgically induced open
pneumothorax, the operated lung could collapse progressively while
the dependent lung is responsible for sufficiency of respiratory
function. The understanding of respiratory physiology is essential
to achieve the four pillars of nonintubated VATS: amnesia,
analgesia, and areflexia, and adequate surgical window. This talk
will review the basic physiology concepts that involved in the
process of nonintubated VATS.
Speaker: Anna Vašků, Prof., M.D., Ph.D.
Topic: Physiological aspects of NITS from pathophysiological
angle of view
Institution: Department of Pathophysiology
Faculty of Medicine, Masaryk University Brno, CZ EU
E-mail:
avasku@med.muni.cz
Abstract
NEURAL – peripheral and
central, HUMORAL – local and systemic, VASCULAR – pulmonary and
systemic, PHYSICAL – mechanical surgical touch, COMPENSATORY
MECHANISMS – local and systemic, SIDE EFFECTS of local anesthetics
and systemic administration of sedation
are considered in
correlation with contemporary state of the art.
Speaker: Teodor Horvath, M.D.
Topic : Seven as One. Questions on physiologigal operative to
pathophysiologist
Institutions: Department of Surgery Faculty
Hospital Brno, Masaryk University Faculty of
Medicine; CBC Vznik
Initiative THORaxUN
E-mail: thahorvath@hotmail.com
Abstract
Seven clinical questions on regulatory mechanisms
due artificial pneumothorax in NITS patients:
1. Neural
peripheral / central
2. Humoral local / systemic
3. Vascular
pulmonary / systemic
4. Surgical touch (=mechanical irritation)
5. Compensatory process local / systemic
6. Side effects of
regional anesthetics
(bupivacaine, lidocaine)
7. Side effects
of drugs for sedation
(propofol)
These are particular
components of ONE comprehensive
process in undoubtedly need of interdisciplinary cooperation.