|Is High Dependancy Unit mandatory for all lung resections
|Daniyal Arshad, Tanya Chandwani, Nida Ara, Mr Nadeem Anjum, Mr Kishore Doddakula
|Cork University Hospital
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|Lung Cancer and Bronchoscopy
|We evaluated all pulmonary cancer resection performed by single surgeon in cuh with no HDU (high dependency unit).
The purpose of study was to evaluate postoperative pain management & safety of patients undergoing lung resections in cardiothoracic ward in absence of high dependency unit & non availability of Intensive care beds
Postoperative pain in VATs group (81 %) was managed with epidural/paravertebral catheter in the ward.
Patients undergoing thoracotomy 19 %) were managed postoperatively in ICU (Intensive Care Unit)
There is one day less hospital stay for VATs group.
No significant difference in the lymph node station dissection between the two groups.
None of the patients in VATs (Video assisted thoracoscopy) group required ICU (Intensive Care Unit) admission.
Our study clearly demonstrates that with adequate postoperative pain management strategy in patients undergoing lung resection can be easily managed in the cardiothoracic ward.