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支气管封堵导管在胸腹腔镜联合食管癌根治术中的应用
Application of a new type of bronchial blocker in thoracolaparoscopic esophagectomy
- 第三军医大学学报 2018年40卷第17期 页码：1579-1583
- 作者机构：
- 作者简介：
- 基金信息：
DOI：10.16016/j.1000-5404.201803050
中图分类号：收稿：2018-03-07，
纸质出版：2018-09-15
- 稿件说明：
移动端阅览
贺文泉, 李勇帅, 张序昊, 等. 支气管封堵导管在胸腹腔镜联合食管癌根治术中的应用[J]. 第三军医大学学报, 2018,40(17):1579-1583.
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.
贺文泉, 李勇帅, 张序昊, 等. 支气管封堵导管在胸腹腔镜联合食管癌根治术中的应用[J]. 第三军医大学学报, 2018,40(17):1579-1583. DOI： 10.16016/j.1000-5404.201803050.
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
2
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
2
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
n
=33) and double-lumen tube group (group DLT
n
=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
0
)
3 min after anesthesia induction (T
1
)
immediately after tracheal intubation (T
2
) and 3 min after tracheal intubation (T
3
). 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
ET
CO
2
) were compared between the 2 groups at the 2-lungs ventilation for 5 min after the tube position determined (T
4
)
10 min after single lung ventilation (T
5
) and 10 min after 2-lungs ventilation at the end of operation (T
6
). The incidence rate of intraoperative and postoperative hypoxemia
postoperative hoarseness and sore throat were also recorded.
Results
2
There were no significant differences in heart rate
mean arterial pressure between the 2 groups at the time points of T
0
T
1
and T
3
. Compared with group DLT
the heart rate and mean arterial pressure were significantly lower in group BB at T
2
(
P
<
0.05). Group BB had significantly reduced positioning time
but lengthened collapse time (
P
<
0.05). There was no significant difference in the degree of left lung collapse between the 2 groups (
P
>
0.05). At T
4
T
5
and T
6
points
there were no significant differences in the P
ET
CO
2
and the group BB presented significantly reduced peak airway pressure (
P
<
0.05). At T
5
the respiratory rate of group BB was decreased significantly (
P
<
0.05). The incidence rates of postoperative hoarseness and sore throat were significantly lower in the group BB than the group DLT (
P
<
0.05). No hypoxemia case was observed
in the 2 groups.
Conclusion
2
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
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