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Cardiothoracic Surgery: Cardiothoracic Surgery |

Awake Video-Assisted Thoracic Surgery (AVATS): Performing Complex Thoracic Surgical Procedures Without General Anesthesia

Ara Klijian, MD
Author and Funding Information

Sharp/Scripps Hospitals, San Diego, CA


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):30A. doi:10.1016/j.chest.2016.08.037
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SESSION TITLE: Cardiothoracic Surgery

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: Video assisted thoracic surgery (VATS) has become the standard for lung surgery. Traditionally VATS requires use of general anesthesia and selective lung ventillation. In 2014, we published our experience with awake VATS performed under local anesthesia (AVATS) extending the benefit of VATS to patients unable to tolerate a general anesthetic. Many of the patients had FEV1 less than 1 and were not considered safe for general anesthesia. We have extended this technique to include more complex procedures with results that surpass traditional VATS.

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