Retrospective Analysis of Anaesthesia Management for Lung Lobectomy via Thoracotomy

Objective: Lung lobectomy is a common procedure for treating pulmonary conditions, including lung cancer.Effective analgesia is crucial for minimizing postoperative pain and enhancing recovery.Traditional opioid-based analgesia (OA) is associated with significant side effects, prompting increased interest in regional anesthesia (RA) techniques.This study evaluates the impact of OA versus RA on perioperative and postoperative outcomes in lung lobectomy patients.Method: This retrospective study included patients who underwent lung lobectomy between April 2020 to December 2022.Patients were divided into Group OA and Group RA.The collected data encompassed preoperative demographic characteristics and intraoperative hemodynamic parameters.Intraoperative timing variables included anesthesia duration, surgical duration, and one-lung ventilation (OLV) time.Postoperative outcomes consisted of intensive care unit-length of stay (ICU-LOS), hospital length of stay, durations of invasive mechanical ventilation (IMV) and non-invasive mechanical ventilation (NIMV), and mortality.Results: Patients enrolled in the study were divided into Group OA (n=32) the Group RA (n=44).Demographic data and comorbidities were comparable between groups (p>0.05).OLV duration was slightly longer in Group OA (181.763.7 min) than in Group RA (161.859.8min), without statistical significance (p=0.168).ICU-LOS stay was shorter in Group RA Ama: Akcier lobektomisi, akcier kanseri dahil olmak zere eitli pulmoner hastalklarn tedavisinde yaygn olarak uygulanan bir cerrahi ilemdir.Etkili analjezi, postoperatif arnn en aza indirilmesi ve iyilemenin hzlandrlmas asndan byk nem tar.Geleneksel opioid bazl analjezi (OA), nemli yan etkilere neden olabilmekte ve bu durum rejyonal anestezi (RA) tekniklerine olan ilgiyi artrmtr.Bu alma, OA ile RA'nn akcier lobektomisi uygulanan hastalardaki perioperatif ve postoperatif sonular zerindeki etkisini deerlendirmektedir.Yntem: Bu retrospektif almaya,