Application of a new type of bronchial blocker in thoracolaparoscopic esophagectomy

Wenquan HE; Yongshuai LI; Xuhao ZHANG; Bin YI; Kaizhi LU

doi:10.16016/j.1000-5404.201803050

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Application of a new type of bronchial blocker in thoracolaparoscopic esophagectomy

更新时间：2026-01-09

- Application of a new type of bronchial blocker in thoracolaparoscopic esophagectomy
- Journal of Third Military Medical University Vol. 40, Issue 17, Pages: 1579-1583(2018)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201803050
  CLC：
- Received：07 March 2018，
  
  Published：15 September 2018
- 稿件说明：
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Wenquan HE, Yongshuai LI, Xuhao ZHANG, et al. Application of a new type of bronchial blocker in thoracolaparoscopic esophagectomy[J]. Journal of Third Military Medical University, 2018, 40(17): 1579-1583.
DOI：

Wenquan HE, Yongshuai LI, Xuhao ZHANG, et al. Application of a new type of bronchial blocker in thoracolaparoscopic esophagectomy[J]. Journal of Third Military Medical University, 2018, 40(17): 1579-1583. DOI： 10.16016/j.1000-5404.201803050.

摘要

Abstract

Objective

To evaluate the safety and efficacy of a new type of bronchial blocker (containing an endobronchial blocker and a single-lumen tube

made by Chengdu Chuanghua Sci & Tech Co. Ltd) in the thoracolaparoscopic esophagectomy.

Methods

A total of 66 patients undergoing elective thoracolaparoscopic esophagectomy in our hospital from September 2016 to March 2017 were prospectively recruited in this study

and they were randomly divided into bronchial blocker group (group BB

=33) and double-lumen tube group (group DLT

=33). After routine anesthetic induction

the bronchial blocker or double-lumen tube was inserted with t

he aid of video laryngoscopy. The heart rate and mean arterial pressure were recorded and compared before anesthesia induction (T

)

3 min after anesthesia induction (T

)

immediately after tracheal intubation (T

) and 3 min after tracheal intubation (T

). The positioning time by fiberoptic bronchoscopy

collapse time of left lung and collapse effect were compared between the 2 groups. The peak airway pressure and end-tidal carbon dioxide partial pressure (P

) were compared between the 2 groups at the 2-lungs ventilation for 5 min after the tube position determined (T

)

10 min after single lung ventilation (T

) and 10 min after 2-lungs ventilation at the end of operation (T

). The incidence rate of intraoperative and postoperative hypoxemia

postoperative hoarseness and sore throat were also recorded.

Results

There were no significant differences in heart rate

mean arterial pressure between the 2 groups at the time points of T

and T

. Compared with group DLT

the heart rate and mean arterial pressure were significantly lower in group BB at T

(

0.05). Group BB had significantly reduced positioning time

but lengthened collapse time (

0.05). There was no significant difference in the degree of left lung collapse between the 2 groups (

0.05). At T

and T

points

there were no significant differences in the P

and the group BB presented significantly reduced peak airway pressure (

0.05). At T

the respiratory rate of group BB was decreased significantly (

0.05). The incidence rates of postoperative hoarseness and sore throat were significantly lower in the group BB than the group DLT (

0.05). No hypoxemia case was observed

in the 2 groups.

Conclusion

The bronchial blocker is safe and effective in thoracolaparoscopic esophagectomy

and should be applied as an option in clinical practice.

关键词

Keywords

references

GAO Y WANG Y CHEN L Comparison of open three-field and minimally-invasive esophagectomy for esophageal cancer Interact Cardiovasc Thorac Surg 2011 12 3 366 369 10.1510/icvts.2010.258632 GAO Y, WANG Y, CHEN L, et al . Comparison of open three-field and minimally-invasive esophagectomy for esophageal cancer[J ] . Interact Cardiovasc Thorac Surg, 2011, 12(3): 366-369. DOI:10.1510/icvts.2010.258632.

MCMULLEN M C GIRLING L G GRAHAM M R Biologically variable ventilation improves oxygenation and respiratory mechanics during one-lung ventilation Anesthesiology 2006 105 1 91 97 10.1097/00000542-200607000-00017 MCMULLEN M C, GIRLING L G, GRAHAM M R, et al . Biologically variable ventilation improves oxygenation and respiratory mechanics during one-lung ventilation[J ] . Anesthesiology, 2006, 105(1): 91-97. DOI:10.1097/00000542-200607000-00017.

HUNG N K WU C T CHAN S M Effect on postoperative sore throat of spraying the endotracheal tube cuff with benzydamine hydrochloride, 10% lidocaine, and 2% lidocaine Anesth Analg 2010 111 4 882 886 10.1213/ANE.0b013e3181d4854e HUNG N K, WU C T, CHAN S M, et al . Effect on postoperative sore throat of spraying the endotracheal tube cuff with benzydamine hydrochloride, 10% lidocaine, and 2% lidocaine[J ] . Anesth Analg, 2010, 111(4): 882-886. DOI:10.1213/ANE.0b013e3181d4854e.

陈解元杨威王刚右支气管封堵器在胸科单肺通气手术中的应用中国临床解剖学杂志 2016 34 3 348 351 10.13418/j.issn.1001-165x.2016.03.023 陈解元, 杨威, 王刚, 等.右支气管封堵器在胸科单肺通气手术中的应用[J].中国临床解剖学杂志, 2016, 34(3): 348-351. DOI: 10.13418/j.issn.1001-165x.2016.03.023.

CHEN J Y YANG W WANG G Application of right bronchial occluder in thoracic operation of single lung ventilation Chin J Clin Anat 2016 34 3 348 351 10.13418/j.issn.1001-165x.2016.03.023 CHEN J Y, YANG W, WANG G, et al . Application of right bronchial occluder in thoracic operation of single lung ventilation[J ] . Chin J Clin Anat, 2016, 34(3): 348-351. DOI: 10.13418/j.issn.1001-165x.2016.03.023.

MIYASAKA D OKUSHIBA S SASAKI T Clinical evaluation of the feasibility of minimally invasive surgery in esophageal cancer Asian J Endosc Surg 2013 6 1 26 32 10.1111/j.1758-5910.2012.00158.x MIYASAKA D, OKUSHIBA S, SASAKI T, et al . Clinical evaluation of the feasibility of minimally invasive surgery in esophageal cancer[J ] . Asian J Endosc Surg, 2013, 6(1): 26-32. DOI:10.1111/j.1758-5910.2012.00158.x.

谢言虎柴小青高燕春支气管封堵器在电视胸腔镜手术单肺通气中的应用研究国际麻醉学与复苏杂志 2013 34 6 496 498 10.3760/cma.j.issn.1673-4378.2013.06.005 谢言虎, 柴小青, 高燕春, 等.支气管封堵器在电视胸腔镜手术单肺通气中的应用研究[J].国际麻醉学与复苏杂志, 2013, 34(6):496-498.DOI: 10.3760/cma.j.issn.1673-4378. 2013.06.005.

XIE Y H CAI X Q GAO Y C The application of endobronchial blocker in video-assisted thoracoscopy surgery Int J Anesth Resus 2013 34 6 496 498 10.3760/cma.j.issn.1673-4378.2013.06.005 XIE Y H, CAI X Q, GAO Y C, et al . The application of endobronchial blocker in video-assisted thoracoscopy surgery[J ] . Int J Anesth Resus, 2013, 34(6):496-498. DOI: 10.3760/cma.j.issn.1673-4378. 2013.06.005.

RUETZLER K GRUBHOFER G SCHMID W Randomized clinical trial comparing double-lumen tube and EZ-Blocker for single-lung ventilation Br J Anaesth 2011 106 6 896 902 10.1093/bja/aer086 RUETZLER K, GRUBHOFER G, SCHMID W, et al .Randomized clinical trial comparing double-lumen tube and EZ-Blocker for single-lung ventilation[J ] .Br J Anaesth, 2011, 106(6):896-902. DOI: 10.1093/bja/aer086.

陈治富康金录支气管封堵器用于胸腔镜肺大疱切除术中的有效性和安全性研究国际麻醉学与复苏杂志 2016 37 11 973 976 10.3760/cma.j.issn.1673-4378.2016.11.004 陈治富, 康金录.支气管封堵器用于胸腔镜肺大疱切除术中的有效性和安全性研究[J].国际麻醉学与复苏杂志, 2016, 37(11):973-976.DOI: 10.3760/cma.j.issn.1673-4378. 2016.11.004.

CHEN Z F KANG J L Safety and efficacy of using b-ronchial occluder in patients undergoing thoracoscopy pul-monary bulla surgery Int J Anesth Resus 2016 37 11 973 976 10.3760/cma.j.issn.1673-4378.2016.11.004 CHEN Z F, KANG J L. Safety and efficacy of using b-ronchial occluder in patients undergoing thoracoscopy pul-monary bulla surgery[J]. Int J Anesth Resus, 2016, 37(11):973-976.DOI:10.3760/cma.j.issn.1673-4378.2016.11.004.

YOO K Y JEONG C W KIM W M Cardiovascular and arousal responses to single-lumen endotracheal and double-lumen endobronchial intubation in the normotensive and hypertensive elderly Korean J Anesthesiol 2011 60 2 90 97 10.4097/kjae.2011.60.2.90 YOO K Y, JEONG C W, KIM W M, et al . Cardiovascular and arousal responses to single-lumen endotracheal and double-lumen endobronchial intubation in the normotensive and hypertensive elderly[J ] . Korean J Anesthesiol, 2011, 60(2): 90-97. DOI:10.4097/kjae.2011.60.2.90.

BARAK M ZISER A GREENBERG A Hemodynamic and catecholamine response to tracheal intubation: direct laryngoscopy compared with fiberoptic intubation J Clin Anesth 2003 15 2 132 136 10.1016/s0952-8180(02)00514-7 BARAK M, ZISER A, GREENBERG A, et al . Hemodynamic and catecholamine response to tracheal intubation: direct laryngoscopy compared with fiberoptic intubation[J ] . J Clin Anesth, 2003, 15(2): 132-136. DOI:10.1016/s0952-8180(02)00514-7.

牛志强聂宇单士强支气管封堵器用于小切口冠状动脉旁路移植术老年患者单肺通气的效果:与双腔支气管导管比较中华麻醉学杂志 2014 34 11 1361 1364 10.3760/cma.j.issn.0254-1416.2014.11.021 牛志强, 聂宇, 单士强, 等.支气管封堵器用于小切口冠状动脉旁路移植术老年患者单肺通气的效果:与双腔支气管导管比较[J].中华麻醉学杂志, 2014, 34(11):1361- 1364.DOI: 10.3760/cma.j.issn.0254-1416.2014.11.021.

NIU Z Q NIE Y SHAN S Q Efficacy of bronch-ial blocker for one-lung ventilation in elderly patientsundergoing minimally invasive direct coronary artery bypass: a comparison with double-lumen tube Chin J Anesth 2014 11 1361 1364 10.3760/cma.j.issn.0254-1416.2014.11.021 NIU Z Q, NIE Y, SHAN S Q, et al . Efficacy of bronch-ial blocker for one-lung ventilation in elderly patientsundergoing minimally invasive direct coronary artery bypass: a comparison with double-lumen tube[J ] . Chin J Anesth, 2014(11):1361-1364. DOI: 10.3760/cma.j.issn.0254-1416.2014.11.021.

HO A M NG S K TSANG K H A technique that may improve the reliability of endobronchial blocker positioning during adult one-lung anaesthesia Anaesth Intensive Care 2009 37 6 1012 1016 http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=JJ0217760426 HO A M, NG S K, TSANG K H, et al . A technique that may improve the reliability of endobronchial blocker positioning during adult one-lung anaesthesia[J ] . Anaesth Intensive Care, 2009, 37(6): 1012-1016.

KNOLL H ZIEGELER S SCHREIBER J U Airway injuries after one-lung ventilation: a comparison between double-lumen tube and endobronchial blocker: a randomized, prospective, controlled trial Anesthesiology 2006 105 3 471 477 10.1097/00000542-200609000-00009 KNOLL H, ZIEGELER S, SCHREIBER J U, et al . Airway injuries after one-lung ventilation: a comparison between double-lumen tube and endobronchial blocker: a randomized, prospective, controlled trial[J ] . Anesthesiology, 2006, 105(3): 471-477. DOI:10.1097/00000542-200609000-00009.

ZHONG T WANG W CHEN J Sore throat or hoarse voice with bronchial blockers or double-lumen tubes for lung isolation: a randomised, prospective trial Anaesth Intensive Care 2009 37 3 441 446 http://cat.inist.fr/?aModele=afficheN&cpsidt=21473977 ZHONG T, WANG W, CHEN J, et al . Sore throat or hoarse voice with bronchial blockers or double-lumen tubes for lung isolation: a randomised, prospective trial[J ] . Anaesth Intensive Care, 2009, 37(3): 441-446.

MCHARDY F E CHUNG F Postoperative sore throat: cause, prevention and treatment Anaesthesia 1999 54 5 444 453 10.1046/j.1365-2044.1999.00780.x MCHARDY F E, CHUNG F. Postoperative sore throat: cause, prevention and treatment[J]. Anaesthesia, 1999, 54(5): 444-453. DOI:10.1046/j.1365-2044.1999.00780.x.

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