镇痛与复苏：当前研究

COMPARISON OF TWO METHODS OF DOUBLE LUMEN TUBE PLACEMENT IN NATIONAL CANCER CENTER OF MONGOLIA

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.