Modern methods of anesthesia in oncopulmonology (literature review)

Authors

  • A.S. Suprun Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine; Regional Center of Oncology, Kharkiv, Ukraine, Ukraine
  • V.Y. Lysenko Kharkiv Medical Academy of Postgraduate Education, Kharkiv, Ukraine, Ukraine

DOI:

https://doi.org/10.22141/2224-0586.17.8.2021.245570

Keywords:

lung cancer, methods of anesthesia, multimodal analgesia, Fast Track Surgery, review

Abstract

This article provides an overview of modern methods of anesthesia and perioperative support in oncopulmonology. Literary sources were searched by journal archives, Medline search electronic databaseб and scientometric databases Scopus and Web of Science, also the Cochrane Library for the last 7 years. The main methods of anesthesiological support in thoracic surgery, modern concepts of perioperative management of patients, the basic principles of preventive and multimodal analgesia as components of the protocol of accelerated recovery are considered. The development and introduction of safe and effective methods of patient antinociceptive protection from acute surgical pain in oncopulmonology remain an important problem of anesthesiology.

References

Vyzhigina, M. A., Parshin, V. D., Titov, V. A., & Alekseev, A. V. (2015). Actual respiratory technologies in thoracic surgery: traditional problems and innovative solutions. Khirurgiya, 8, 20–32. https://doi.org/10.17116/hirurgia20158220-32

Globocan 2018: Lung. http://gco.iarc.fr/today/data/factsheets/cancers/15-Lung-fact-sheet.pdf

Zhao, N., Lu, C., Liu, L., Sun, P., & Han, J. (2020). Intercellular adhesion molecule-1 and S-100β in sevoflurane combined with epidural anesthesia for radical resection of lung cancer. Oncology letters, 19(2), 1544–1550. https://doi.org/10.3892/ol.2019.11245

The Order of MoH of Ukraine dated 04.06.2014 No.387 “On approval and implementation of medical and technological documents on standardization of medical care in lung cancer”.

Xu, Z. Z., Li, H. J., Li, M. H., Huang, S. M., Li, X., Liu, Q. H., Li, J., Li, X. Y., Wang, D. X., & Sessler, D. I. (2021). Epidural Anesthesia-Analgesia and Recurrence-free Survival after Lung Cancer Surgery: A Randomized Trial. Anesthesiology, 135(3), 419–432. https://doi.org/10.1097/ALN.0000000000003873

Kammerer, T., Speck, E., & von Dossow, V. (2016). Anästhesie in der Thoraxchirurgie [Anesthesia in thoracic surgery]. Der Anaesthesist, 65(5), 397–412. https://doi.org/10.1007/s00101-016-0173-4

Boyko, V. V., Pavlov, A. A., Bogun, Yu. V., & Gnedenkova, A. M. (2014). Improvement оf perioperative anesthesia in thoracic of surgery. Бойко ВВ, Павлов АА, Богун ЮВ, Гнеденкова АМ. Усовершенствование периоперационного обезболивания в торакальной хирургии. Kharkiv Surgical School, 5(50), 74–80.

Sharipova, V. Kh. (2015). Clinical-pathogenetic reasoningof multimodal analgesia adequacy in peryoperative period in long-termed traumatic abdominal operative interventions. Bulletin of modern clinical medicine, 8(4), 42–49.

Sen, Y., Xiyang, H., & Yu, H. (2019). Effect of thoracic paraspinal block-propofol intravenous general anesthesia on VEGF and TGF-β in patients receiving radical resection of lung cancer. Medicine, 98(47), e18088. https://doi.org/10.1097/MD.0000000000018088

Bobrinskaya, I. G., & Uklonskij, A. N. (2014). Respiratory failure of the postoperative period in thoracic patients. KRSU Bulletin, 14(55), 35–38.

Oh, T. K., Kim, K., Jheon, S., Lee, J., Do, S. H., Hwang, J. W., & Song, I. A. (2018). Long-Term Oncologic Outcomes for Patients Undergoing Volatile Versus Intravenous Anesthesia for Non-Small Cell Lung Cancer Surgery: A Retrospective Propensity Matching Analysis. Cancer control: journal of the Moffitt Cancer Center, 25(1), 1073274818775360. https://doi.org/10.1177/1073274818775360

Pylypenko, M., & Mykhaylov, B. (2021). Justification for the combined use of propofol and dexmedetomidine in elective procedural sedation: literature review and personal experience. Pain, Anaesthesia & Intensive Care, (3(96), 9–27. https://doi.org/10.25284/2519-2078.3(96).2021.242135

Shamaev, E. M., Kosonogov, L. F., Pokhvisneva, N. M., & Boganskaia, O. A. (1991). Perioperative dynamics of the parameters of acid-base equilibrium in patients with lung cancer in relation to the type of anesthesia. Anesteziologiia i reanimatologiia, (1), 48–50.

Sun, H., Zhang, G., Ai, B., Zhang, H., Kong, X., Lee, W. T., Zheng, H., Yan, T., & Sun, L. (2019). A systematic review: comparative analysis of the effects of propofol and sevoflurane on postoperative cognitive function in elderly patients with lung cancer. BMC cancer, 19(1), 1248. https://doi.org/10.1186/s12885-019-6426-2

Ali, J. M., Volpi, S., Kaul, P., & Aresu, G. (2019). Does the 'non-intubated' anaesthetic technique offer any advantage for patients undergoing pulmonary lobectomy?. Interactive cardiovascular and thoracic surgery, 28(4), 555–558. https://doi.org/10.1093/icvts/ivy312

Liang, H., Yang, C. X., Zhang, B., Wang, H. B., Liu, H. Z., Lai, X. H., Liao, M. J., & Zhang, T. (2015). Sevoflurane suppresses hypoxia-induced growth and metastasis of lung cancer cells via inhibiting hypoxia-inducible factor-1α. Journal of anesthesia, 29(6), 821–830. https://doi.org/10.1007/s00540-015-2035-7

Potočnik, I., Novak Janković, V., Šostarič, M., Jerin, A., Štupnik, T., Skitek, M., Markovič-Božič, J., & Klokočovnik, T. (2014). Antiinflammatory effect of sevoflurane in open lung surgery with one-lung ventilation. Croatian medical journal, 55(6), 628–637. https://doi.org/10.3325/cmj.2014.55.628

Shimizu, T., Abe, K., Kinouchi, K., & Yoshiya, I. (1997). Arterial oxygenation during one lung ventilation. Canadian journal of anaesthesia = Journal canadien d'anesthesie, 44(11), 1162–1166. https://doi.org/10.1007/BF03013338

Volchkov, V. A., Kovalev, S. V., & Kubynin, A. N. (2018). Contemporary aspects of postoperative analgesia (review). Vestnik of Saint Petersburg University. Medicine, 13(3), 245–270. https://doi.org/10.21638/11701/spbu11.2018.303

Shulman, M., Sandler, A. N., Bradley, J. W., Young, P. S., & Brebner, J. (1984). Postthoracotomy pain and pulmonary function following epidural and systemic morphine. Anesthesiology, 61(5), 569–575. https://doi.org/10.1097/00000542-198411000-00017

Roy, R. C., & Calicott, R. W. (2007). Anesthesia Practice Models, Perioperative Risk and the Future of Anesthesiology. ASA Newsletter, 71, 14–17.

Xu, Q., Shi, N. J., Zhang, H., & Zhu, Y. M. (2017). Effects of combined general-epidural anesthesia and total intravenous anesthesia on cellular immunity and prognosis in patients with non small cell lung cancer: A comparative study. Molecular medicine reports, 16(4), 4445–4454. https://doi.org/10.3892/mmr.2017.7144

Qiang Xu, Nian-Jun Shi, Hao Zhang et al. Effects of combined general-epidural anesthesia and total intravenous anesthesia on cellular immunity and prognosis in patients with non small cell lung cancer: A comparative study. Mol Med Rep. 2017; 16(4):4445-4454. doi: 10.3892/mmr.2017.7144.

Бобринская ИГ, Уклонский АН. Дыхательная недостаточность послеоперационного периода у торакальных больных. Вестник КРСУ. 2014; 14(55):35-38.

Avdeev, S. V., Dubodelov, E. L., & Zavyalov, A. A. (2011). Prevention of postoperative complications after radical surgeries on lungs depending on the method of perioperative analgesia. Siberian Journal of Oncology, 2(44), 20–26.

Aleksin, A. A., & Khoronenko, V. É. (2014). Anesteziologiia i reanimatologiia, 59(6), 10–14.

Zeng, X., Jiang, J., Yang, L., & Ding, W. (2017). Epidural Dexmedetomidine Reduces the Requirement of Propofol during Total Intravenous Anaesthesia and Improves Analgesia after Surgery in Patients undergoing Open Thoracic Surgery. Scientific reports, 7(1), 3992. https://doi.org/10.1038/s41598-017-04382-5

Lei, P., Gao, S., Wang, P., Fan, J., & Ai, X. (2018). Applications of nerve stimulator-guided thoracic paravertebral nerve block plus general anesthesia in small-incision lung cancer surgery. Journal of cancer research and therapeutics, 14(Supplement), S213–S217. https://doi.org/10.4103/0973-1482.188031

Ueda, K., Hayashi, M., Murakami, J., Tanaka, T., Utada, K., & Hamano, K. (2020). Intercostal block vs. epidural analgesia in thoracoscopic lung cancer surgery: a randomized trial. General thoracic and cardiovascular surgery, 68(3), 254–260. https://doi.org/10.1007/s11748-019-01197-1

Jack, J. M., McLellan, E., Versyck, B., Englesakis, M. F., & Chin, K. J. (2020). The role of serratus anterior plane and pectoral nerves blocks in cardiac surgery, thoracic surgery and trauma: a qualitative systematic review. Anaesthesia, 75(10), 1372–1385. https://doi.org/10.1111/anae.15000

Khalil, K. G., Boutrous, M. L., Irani, A. D., Miller, C. C., 3rd, Pawelek, T. R., Estrera, A. L., & Safi, H. J. (2015). Operative Intercostal Nerve Blocks With Long-Acting Bupivacaine Liposome for Pain Control After Thoracotomy. The Annals of thoracic surgery, 100(6), 2013–2018. https://doi.org/10.1016/j.athoracsur.2015.08.017

Mehran, R. J., Walsh, G. L., Zalpour, A., Cata, J. P., Correa, A. M., Antonoff, M. B., & Rice, D. C. (2017). Intercostal Nerve Blocks With Liposomal Bupivacaine: Demonstration of Safety, and Potential Benefits. Seminars in thoracic and cardiovascular surgery, 29(4), 531–537. https://doi.org/10.1053/j.semtcvs.2017.06.004

Rice, D. C., Cata, J. P., Mena, G. E., Rodriguez-Restrepo, A., Correa, A. M., & Mehran, R. J. (2015). Posterior Intercostal Nerve Block With Liposomal Bupivacaine: An Alternative to Thoracic Epidural Analgesia. The Annals of thoracic surgery, 99(6), 1953–1960. https://doi.org/10.1016/j.athoracsur.2015.02.074

Zheng, C., Wang, J., & Xie, S. (2021). Ultrasound-Guided Thoracic Paravertebral Nerve Block on Postoperative Pain, Quality of Life, and Recovery in Patients with Non-Small-Cell Lung Cancer. BioMed research international, 2021, 6692815. https://doi.org/10.1155/2021/6692815

Yeung, J., Middleton, L., Tryposkiadis, K., Kerr, A., Daniels, J., Naidu, B., Melody, T., Goebel, A., Wilson, M., Kumar, S., Szentgyorgyi, L., Flanagan, S., Shah, R., Worrall, A., & Gao, F. (2019). Randomised controlled trial to investigate the effectiveness of thoracic epidural and paravertebral blockade in reducing chronic post-thoracotomy pain (TOPIC): a pilot study to assess feasibility of a large multicentre trial. BMJ open, 9(7), e023679. https://doi.org/10.1136/bmjopen-2018-023679

Synytsyn, M. M. (2017). Prolonged paravertebral analgesia for pain relief in patients after thoracotomy. Emergency medicine, 2(81), 150–157. https://doi.org/10.22141/2224-0586.2.81.2017.99708

Gupta, R., Van de Ven, T., & Pyati, S. (2020). Post-Thoracotomy Pain: Current Strategies for Prevention and Treatment. Drugs, 80(16), 1677–1684. https://doi.org/10.1007/s40265-020-01390-0

Khoronenko, V., Baskakov, D., Leone, M., Malanova, A., Ryabov, A., Pikin, O., & Golovashchenko, M. (2018). Influence of Regional Anesthesia on the Rate of Chronic Postthoracotomy Pain Syndrome in Lung Cancer Patients. Annals of thoracic and cardiovascular surgery: official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 24(4), 180–186. https://doi.org/10.5761/atcs.oa.18-00044

Lee, E. K., Ahn, H. J., Zo, J. I., Kim, K., Jung, D. M., & Park, J. H. (2017). Paravertebral Block Does Not Reduce Cancer Recurrence, but Is Related to Higher Overall Survival in Lung Cancer Surgery: A Retrospective Cohort Study. Anesthesia and analgesia, 125(4), 1322–1328. https://doi.org/10.1213/ANE.0000000000002342

Kang, K., Meng, X., Li, B., Yuan, J., Tian, E., Zhang, J., & Zhang, W. (2020). Effect of thoracic paravertebral nerve block on the early postoperative rehabilitation in patients undergoing thoracoscopic radical lung cancer surgery. World journal of surgical oncology, 18(1), 298. https://doi.org/10.1186/s12957-020-02071-8

Rodrigues, G., Ravi, Ch., & Prabhu, R. (2013). Fast-track surgery: A new concept of perioperative management of surgical patients. Journal of Health Specialties, 1(3), 114–121.

Kitching, A. J., & O’Neill, S. S. (2009). Fast-track surgery and anaesthesia. Contin Educ Anesth Crit Care Pain, 9(2): 39–43. https://doi.org/10.1093/bjaceaccp/mkp006

Ansari, D., Gianotti, L., Schröder, J., & Andersson, R. (2013). Fast-track surgery: procedure-specific aspects and future direction. Langenbeck's archives of surgery, 398(1), 29–37. https://doi.org/10.1007/s00423-012-1006-9

Şimşek, T., Şimşek, H. U., & Cantürk, N. Z. (2014). Response to trauma and metabolic changes: posttraumatic metabolism. Ulusal cerrahi dergisi, 30(3), 153–159. https://doi.org/10.5152/UCD.2014.2653

Piccioni, F., Droghetti, A., Bertani, A., Coccia, C., Corcione, A., Corsico, A. G., Crisci, R., Curcio, C., Del Naja, C., Feltracco, P., Fontana, D., Gonfiotti, A., Lopez, C., Massullo, D., Nosotti, M., Ragazzi, R., Rispoli, M., Romagnoli, S., Scala, R., Scudeller, L. (2020). Recommendations from the Italian intersociety consensus on Perioperative Anesthesa Care in Thoracic surgery (PACTS) part 2: intraoperative and postoperative care. Perioperative medicine (London, England), 9, 31. https://doi.org/10.1186/s13741-020-00159-z

Hansdóttir, V., Bake, B., & Nordberg, G. (1996). The analgesic efficacy and adverse effects of continuous epidural sufentanil and bupivacaine infusion after thoracotomy. Anesthesia and analgesia, 83(2), 394–400. https://doi.org/10.1097/00000539-199608000-00033

Graff, V., & Grosh, T. (2018). Multimodal Analgesia And Alternatives To Opioids For Postoperative Analgesia. APSF Journal (the Official Journal of the Anesthesia Patient Safety Foundation), 33(2), 33–68.

McGlory, G., Davis, A., & Kirksey, K. (2018). Multimodal analgesia in critical care. Nursing Critical Care, 13(2), 18–23.

Wick, E. C., Grant, M. C., & Wu, C. L. (2017). Postoperative Multimodal Analgesia Pain Management With Nonopioid Analgesics and Techniques: A Review. JAMA surgery, 152(7), 691–697. https://doi.org/10.1001/jamasurg.2017.0898

Memtsoudis, S. G., Poeran, J., Zubizarreta, N., Cozowicz, C., Mörwald, E. E., Mariano, E. R., & Mazumdar, M. (2018). Association of Multimodal Pain Management Strategies with Perioperative Outcomes and Resource Utilization: A Population-based Study. Anesthesiology, 128(5), 891–902. https://doi.org/10.1097/ALN.0000000000002132

De Jong, R., & Shysh, A. J. (2018). Development of a Multimodal Analgesia Protocol for Perioperative Acute Pain Management for Lower Limb Amputation. Pain research & management, 2018, 5237040. https://doi.org/10.1155/2018/5237040

Gelir, İ. K., Güleç, S., & Ceyhan, D. (2016). Preventive effect of dexketoprofen on postoperative pain. Agri: Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology, 28(2), 67–71. https://doi.org/10.5505/agri.2015.08379

Nir, R. R., Nahman-Averbuch, H., Moont, R., Sprecher, E., & Yarnitsky, D. (2016). Preoperative preemptive drug administration for acute postoperative pain: A systematic review and meta-analysis. European journal of pain (London, England), 20(7), 1025–1043. https://doi.org/10.1002/ejp.842

Volchkov, V. A., Kovalev, S. V., & Kubynin, A. N. (2018). Сontemporary aspects of postoperative analgesia (review. Bulletin of St. Petersburg. un-that. Medicine. Ser. Eleven, 1, 84–90. https://doi.org/10.21638/11701/spbu11.2018.303

Chou, R., Gordon, D. B., de Leon-Casasola, O. A., Rosenberg, J. M., Bickler, S., Brennan, T., Wu, C. L. (2016). Management of Postoperative Pain: A Clinical Practice Guideline From the American Pain Society, the American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists' Committee on Regional Anesthesia, Executive Committee, and Administrative Council. The journal of pain, 17(2), 131–157. https://doi.org/10.1016/j.jpain.2015.12.008

Block, B. M., Liu, S. S., Rowlingson, A. J., Cowan, A. R., Cowan, J. A., Jr, & Wu, C. L. (2003). Efficacy of postoperative epidural analgesia: a meta-analysis. JAMA, 290(18), 2455–2463. https://doi.org/10.1001/jama.290.18.2455

Andreae, M. H., & Andreae, D. A. (2013). Regional anaesthesia to prevent chronic pain after surgery: a Cochrane systematic review and meta-analysis. British journal of anaesthesia, 111(5), 711–720. https://doi.org/10.1093/bja/aet213

Bouman, E. A., Theunissen, M., Bons, S. A., van Mook, W. N., Gramke, H. F., van Kleef, M., & Marcus, M. A. (2014). Reduced incidence of chronic postsurgical pain after epidural analgesia for abdominal surgery. Pain practice : the official journal of World Institute of Pain, 14(2), E76–E84. https://doi.org/10.1111/papr.12091

Gorobec, E. S. (2012). Instructions for using the method of prolonged postoperative epidural analgesia in surgical departments of NIIKO. Regional anesthesia and pain management, VI(2), 67–71.

Rav, P. R, & Jaiswa, P. (2017). Thoracic epidural analgesia for breast oncological procedures: A better alternative to general anesthesia. J Mar Med Soc, 19, 91–5. https://doi.org/10.4103 / jmms.jmms_57_17

Neerja Bharti, Shweta N Pokale, Indu Bala & Vikas Gupta (2018) Analgesic efficacy of dexmedetomidine versus fentanyl as an adjunct to thoracic epidural in patients undergoing upper abdominal surgery: a randomized controlled trial. Southern African Journal of Anaesthesia and Analgesia, 24:1, 16–21. https://doi.org/10.1080/22201181.2018.1433599

Shaikh, S. I., & Mahesh, S. B. (2016). The efficacy and safety of epidural dexmedetomidine and clonidine with bupivacaine in patients undergoing lower limb orthopedic surgeries. Journal of anaesthesiology, clinical pharmacology, 32(2), 203–209. https://doi.org/10.4103/0970-9185.182104

Mercanoğlu, E., Alanoğlu, Z., Ekmekçi, P., Demiralp, S., & Alkiş, N. (2013). Comparison of intravenous morphine, epidural morphine with/without bupivacaine or ropivacaine in postthoracotomy pain management with patient controlled analgesia technique. Brazilian journal of anesthesiology (Elsevier), 63(2), 213–219. https://doi.org/10.1016/j.bjane.2012.05.003

Published

2021-12-07

Issue

Section

Scientific Review