Izvorni znanstveni članak
https://doi.org/10.22514/SV141.052018.4
One lung ventilation: double-lumen tube with vs. without carinal hook
IZTOK POTOČNIK
; Clinical Department of Anaesthesiology and Surgical Intensive Terapy University Medical Centre Ljubljana Zaloška 2, Ljubljana, Slovenia
LEA ANDJELKOVIC
JASMINA MARKOVIČ-BOŽIČ
Sažetak
Background. One lung ventilation (OLV)
has become a standard procedure for the
vast majority of interventions in pulmonary
surgery. Te most commonly used are lef
sided double-lumen tubes (DLTs) which are
placed into the lef main bronchus and the
right or lef lung can be isolated.
Te aim of our study was to compare DLTs
with and without a hook.
Materials and methods. Fify-four patients
undergoing lung resection were included in
the randomized, controlled, single-blinded
study. Recruited patients were randomly allocated
to each group (hook/without hook).
Demographic data, procedural data, type of
tube used, and difcult intubation criteria
were recorded. Complications, according
to intubation and position of the tube, were
also recorded. Afer the operation, we aske
patients about a sore throat, hoarseness,
haemoptysis and their satisfaction with the
procedure.
Results. Baseline characteristics were well
balanced between groups. Time to place
DLT was shorter in the group without a
hook (47.7±45.5 vs 15.8±15.1s; P=0.01).
Te incidence of adequate positioning at the
frst attempt was higher in the group with a
hook and the repositioning rate was higher
in the group without a hook (22.22 vs
59.25%; P=0.004). Patients in both groups
sufered similar incidences of hoarseness,
sore throat or postoperative haemoptysis
(5/5/1 vs 3/3/0; P=0.44). Patient satisfaction
was higher in the group without a hook
(31.85% vs 34.81%;0.03).
Conclusion. Te study showed the advantage
of DLTs without a hook in comparison
with DLTs with a hook. In our institution
we decided to use DLTs without a hook,
with fberoptic control.
Ključne riječi
double-lumen tube; carinal hook; pulmonary surgery
Hrčak ID:
200418
URI
Datum izdavanja:
1.6.2018.
Posjeta: 793 *