Date of Award
Spring 4-21-2025
Document Type
Project
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Advisor
Ruth Chavez
First Committee Member
Amy Bishop
Second Committee Member
Danielle Winch
Keywords
video-assisted, thoracoscopic surgery, VATS, NI-VATS, non-intubated
Subject Categories
Medicine and Health Sciences
Abstract
Since the 1990s, video-assisted thoracoscopic surgery (VATS) has become the standard for many thoracic operations, providing a minimally invasive approach. Traditional VATS management with general anesthesia (GA), muscle relaxation, and one-lung ventilation (OLV) poses risks of postoperative pulmonary complications (PPCs) that can lead to a prolonged length of hospital stay (LOS). Recently, non-intubated VATS (NI-VATS) has become popular due to fewer anesthesia-related complications and faster recovery, especially for patients with compromised respiratory function who may not tolerate GA or intubation. NI-VATS combines regional anesthesia with spontaneous non-invasive ventilation mechanisms, avoiding GA, intubation, and OLV complications. Studies show NI-VATS leads to reduced LOS and PPC development while providing a safety profile comparable to traditional VATS. The growing popularity of NI-VATS warrants the development of evidence-based guidelines for optimal patient selection, perioperative interventions, and complication management. This theoretical scholarly project aims to provide evidence-based guidelines for anesthetic management for NI-VATS procedures to address the above mentioned concerns. Preparation for guideline implementation will include project approval and staff education for the anticipated changes. Trial guideline implementation will take approximately 10 months, or until 50 NI-VATS cases are completed. Project members will compare pre- and post-implementation data of target outcomes to determine guideline effectiveness.
Keywords: video-assisted thoracoscopic surgery, one-lung ventilation, length of stay, postoperative pulmonary complications, non-intubated video-assisted thoracoscopic surgery
Acknowledgement 1
1
Acknowledgement 2
1
Licensing Permission
Copyright, all rights reserved. Fair Use
Recommended Citation
Moad, Lauren, "Guideline Development and Implementation for Non-Intubated Video-Assisted Thoracoscopic Surgery" (2025). Doctor of Nursing Practice Scholarly Projects. 172.
https://digitalcommons.otterbein.edu/stu_doc/172
Poster