Short Communication
Volume 7 Issue 9 - 2018
Analysis of Pleuroscopias Under Sedation of Hospital-School Thoracic Surgery
Isaac de Faria Soares Rodrigues, Francisco de Assis Cury, Celso Murilo Nálio Matias de Faria, Henrique Nietmann*, Renato Meinberg Cheade and Ricardo Caroline Abbott
Assistant Staff, Thoracic Surgery Program, Coordinator, Lung Transplant Program, FAMERP (Faculty of Medicine of São José do Rio Preto), Brazil
*Corresponding Author: Henrique Nietmann, Assistant Staff, Thoracic Surgery Program, Coordinator, Lung Transplant Program, FAMERP (Faculty of Medicine of São José do Rio Preto)/Hospital Base, Brazil.
Received: June 26, 2018; Published: August 20, 2018
Citation: Henrique Nietmann., et al. “Analysis of Pleuroscopias Under Sedation of Hospital-School Thoracic Surgery”. EC Pulmonology and Respiratory Medicine 7.9 (2018): 640-642.
Objective
To present revision of patients submitted to medical pleuroscopia, without general anesthesia or Monolung ventilation, in the period from February 2013 to December 2016 in the basic Hospital of the Faculty of Medicine of São José do Rio Black. The analysis in question is demonstrative to prove the safety of the procedure, with a low rate of complications, and the post-operative evolution within the expected.
Method
It was evaluated the average time of the procedure under sedation, with patient monitored with cardioscopio and pulse ox, having nasal catheter or oxygen mask installed, and should maintain the vital signs (systolic and diastolic pressure, frequency Cardiac and oxygen saturation) within pre-established values as insurance before it is necessary to adopt changes in sedation and need for conversion to general anesthesia and advanced airway. Patients were stratified according to their clinical condition and Performance status By the classification ECOG (Eastern Cooperative Oncology Group) and the indications for the surgery. Postoperative complications were evaluated (including the need for orotracheal intubation, infection and sepsis, deaths), need for hospitalization in ICU (intensive care unit) and time to stay with the chest drain.
Results
48 procedures were totaled in the period that obeyed the protocol established by the thoracic surgery team and anesthesiology. Among the complications, a patient needed IOT; In addition, three other patients went to ICU at least in the first post-operative, due to the risk of need for IOT, there were 4 deaths, of varying causes, not only linked to the Procedino. Established the parameters of the safe vital signs to maintain stable sedation, there was no significant correlation between the groups with the worst clinical conditions (ECOG 3 and 4) to present more instability during the procedure, which we think the Procedure may be safe regardless of this factor, although they require further studies in this regard.
Conclusions
Based on our experience in the procedure, it proved to be safe and doable, with a low number of complications, without altering in a negative way or prolonging the postoperative evolution, regardless of the patient’s clinical profile or the activities performed during the Pleuroscopia.
Copyright: © 2018 Henrique Nietmann., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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