B.Bolormaa1, Ts.Lhavgasuren2, D.Avirmed3
The goals of this retrospective study were to compare two methods of double-lumen tube (DLT) placement used for elective thoracic or esophageal surgery and to identify factors which provide a rational basis for placement technique.
METHODS:
We performed during 2012-2014 period in National Cancer Center of Mongolia placement of DLT in 160 ASA II-III patients scheduled for thoracic or esophageal surgery procedures either according to the conventional blind method or under direct vision using a fiber optic bronchoscope.
Combined anesthesia using inhalation anesthesia with isoflurane associated with thoracic epidural analgesia was used in most patients requiring one- lung ventilation after right or left –sided endobronchial intubation.
Data collected from files of patients and anesthetic records are expressed SPPS 20 as mean +/- SD. Paired-simple t-tests, One way ANOVA. Was used to detect significant differences (p<0, 05).
RESULTS:
We are reporting 2012-2014 anesthesia and surgical departments at National Cancer Center. In our study involved all 160 open thoracic surgery cases with DLT. Were excluded 4 case to very short and tail height (140 less than , 190 more than ) and weight (35 kg less than, 150kg more than), 2 case often because to very low hemoglobollin ( we are doesn’t have arterial laboratory result ) level, 2 cases thorax was not open ( explorative esophageal cases) and we feature due 160 records of patients;
106 male (mean age 55 + 13 years) and 54 female (mean age 57+ 10 years) were analyzed. 64.4% of all patients were smoked. Type of surgery is detailed in Table 1 DLT was placed left 60% (n=96), right 40% (n=64) and 5.6% (n=9) cases fiber optic bronchoscopes by was used after blind placement DLT, total lung collapse was achieved.
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