Is awake or intubated surgery for ILD diagnosis better?
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.