Wang Shaolin, Zhang Jin, Cheng Hao, Yin Jun, Liu Xiaobin
Department of Anesthesiology, Wuhu Second People's Hospital, Wuhu City, Anhui, China.
Department of Anesthesiology, Wuhu Second People's Hospital, Wuhu City, Anhui, China.
J Cardiothorac Vasc Anesth. 2014 Aug;28(4):900-3. doi: 10.1053/j.jvca.2013.06.004. Epub 2013 Oct 4.
To compare the effects of one-lung ventilation (OLV) offered by ProSeal laryngeal mask airway (PLMA) or endotracheal tube (ETT) with Coopdech bronchial blocker (BB) in adult patients undergoing thoracoscopic procedures, and also to evaluate the feasibility and security of application of PLMA with Coopdech BB for OLV.
Prospective, randomized study.
A local hospital.
One-hundred adult patients undergoing thoracoscopic procedures.
PLMA with Coopdech BB (group PLMA-BB, n=50) or ETT with Coopdech BB (group ETT-BB, n=50) was used for OLV.
There were no differences between the groups in terms of time of OLV, time of correct placement of the BB, or cases of BB dislodgement. Forty-seven patients succeeded in OLV in the PLMA-BB group (94%), all patients succeeded in OLV in the ETT-BB group (100%), and there was no significant difference in success rate between groups (p>0.05). Arterial oxygen tension, end-expiration tidal volume, and peak airway pressure showed no statistical difference in TLV or 30 minutes after the initiation of OLV between 2 groups (p>0.05).
The combined use of PLMA and Coopdech BB in adult patients can achieve adequate OLV for brief thoracoscopic procedures.
比较在接受胸腔镜手术的成年患者中，使用普罗塞尔喉罩气道（PLMA）或气管内导管（ETT）联合Coopdech支气管封堵器（BB）进行单肺通气（OLV）的效果，并评估PLMA联合Coopdech BB用于OLV的可行性和安全性。
前瞻性随机研究。
当地一家医院。
100例接受胸腔镜手术的成年患者。
使用PLMA联合Coopdech BB（PLMA-BB组，n = 50）或ETT联合Coopdech BB（ETT-BB组，n = 50）进行OLV。
两组在OLV时间、BB正确放置时间或BB移位情况方面无差异。PLMA-BB组47例患者OLV成功（94%），ETT-BB组所有患者OLV成功（100%），两组成功率无显著差异（p>0.05）。两组在双肺通气（TLV）时或OLV开始后30分钟时的动脉血氧分压、呼气末潮气量和气道峰压无统计学差异（p>0.05）。
在成年患者中，PLMA与Coopdech BB联合使用可在简短的胸腔镜手术中实现充分的OLV。
