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Patients’ Satisfaction with Local and General Anesthesia for Video-Assisted Thoracoscopic Surgery—Results of the First Randomized Controlled Trial PASSAT

Thursday, April 6, 2023

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Source

Source Name: European Journal of Cardiothoracic Surgery

Author(s)

Thomas Galetin, Christoph Eckermann, Jerome M Defosse, Olger Kraja, Alberto Lopez-Pastorini, Julika Merres, Aris Koryllos, Erich Stoelben

This single center, open RCT compared patients’ satisfaction with local (LA) or general anesthesia (GA) for video-assisted thoracoscopy. Fifty patients were allocated to GA and 57 to LA. Patient satisfaction did not differ significantly for anesthesiology care, general perioperative care, or recovery after surgery. Surgeons and anesthesiologists were both less satisfied with feasibility in the LA group. LA patients had significantly shorter hospital stays, averaging 3.9 vs. 6.0 days, with P < 0.01. The authors conclude that patients should be offered LA as an alternative to GA whenever medically appropriate and feasible.

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