Interstitial Lung Disease
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Is awake or intubated surgery for ILD diagnosis better?

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Awake video-assisted surgical lung biopsy (Awake-VASLB) in patients with interstitial lung disease (ILD) may mitigate some of the risks associated with VASLB with endotracheal intubation and mechanical ventilation, according to a study.

In this prospective study, data from 66 patients with ILD who underwent awake-VASLB and 34 patients with ILD who underwent Intubated-VASLB, were analyzed.

Patients who underwent awake-VASLB had:

– lower postoperative morbidity

– less unexpected intensive care unit admission

– less need for rescue therapy for pain

– reduced surgical/anaesthesiologic time

– reduced chest drain duration

– lower post-operative length of stay

The authors concluded that “awake-VASLB in patients affected by ILD is feasible and seems safer than Intubated-VASLB.”

Guerrera F, Costardi L, Rosboch GL, et al. Awake or intubated surgery in diagnosis of interstitial lung diseases? A prospective study. ERJ Open Res. 2021;7(3):00630-2020. doi: 10.1183/23120541.00630-2020. PMID: 34235209; PMCID: PMC8255540.