Comparison of non-intubated and intubated video-assisted thoracoscopic surgery for perioperative complications—a systematic review and meta-analysis

• Published in: BMC anesthesiology Vol. 25; no. 1; pp. 272 - 12
• Main Authors: Zhang, Diaofeng, Wu, Jie, Yang, Yihan, Pu, Ruifang, Liu, Zixiao, Li, Yun, Deng, Wei, Wang, Jiale, Hou, Bo, Ge, Zengcai, Gao, Jiao, Li, Jiangang, Cheng, Liming
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 29.05.2025; BioMed Central; BMC
• Subjects: Airway management; Anesthesia; Arrhythmia; Bias; Clinical trials; Complications and side effects; Cough; Decision making; General anesthesia; Hospitals; Humans; Hypoxemia; Intraoperative Complications - epidemiology; Intubation; Intubation, Intratracheal - adverse effects; Intubation, Intratracheal - methods; Length of hospital stay; Length of Stay; Local anesthesia; Lung diseases; Mechanical ventilation; Medical Subject Headings-MeSH; Meta-analysis; Non-intubated anesthesia; Patients; Pharyngitis; Postoperative Complications - epidemiology; Postoperative Complications - prevention & control; PPCs; Randomized Controlled Trials as Topic; Recovery (Medical); Remifentanil; Respiration; Sensitivity analysis; Statistical analysis; Surgery; Systematic Review; Thoracic surgery; Thoracic Surgery, Video-Assisted - adverse effects; Thoracic Surgery, Video-Assisted - methods; Thorax; VATS; Thoracic surgery; VATS; Length of hospital stay; PPCs; Meta-analysis; Non-intubated anesthesia

Non-intubated video-assisted thoracic surgery (NIVATS) avoids lung injury and intubation-related complications from mechanical ventilation, but the intraoperative safety and postoperative recovery quality of NIVATS remain controversial. Consequently, we systematically assessed the viability and safe...