Extraluminal Placement of a Bronchial Blocker Compared with Carbon Dioxide Artificial Pneumothorax in Infants Undergoing Video-Assisted Thoracoscopic Surgery.
Ann Thorac Cardiovasc Surg
; 28(1): 48-55, 2022 Feb 20.
Article
em En
| MEDLINE
| ID: mdl-34305078
ABSTRACT
OBJECTIVE:
To investigate the safety and effectiveness of extraluminal placement of a bronchial blocker compared with carbon dioxide (CO2) artificial pneumothorax in infants undergoing video-assisted thoracoscopic surgery (VATS).METHODS:
The study involved 33 infants (group A) who underwent one-lung ventilation (OLV) with extraluminal placement of a bronchial blocker and 35 other infants (group B) who underwent CO2 artificial pneumothorax. Clinical characteristics, the degree of lung collapse, and complications were compared.RESULTS:
The degree of lung collapse in group A was significantly higher than that in group B at T2 and T3. The mean arterial pressure (MAP) of group B was significantly lower than that of group A at 10 min and 30 min after OLV. The partial pressure of carbon dioxide (PaCO2) of group B was significantly higher than that of group A at 30 min after OLV. The incidence of hypotension in group B was higher than that in group A.CONCLUSION:
Compared with CO2 artificial pneumothorax, extraluminal placement of a bronchial blocker is associated with a better degree of lung collapse, fewer episodes of hypotension, and lower PaCO2 accumulation during OLV in infants undergoing VATS.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Pneumotórax Artificial
/
Ventilação Monopulmonar
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article