The anesthesia analysis of the conversion video-assisted thoracic surgery to thoracotomy in pulmonary carcinoma  

胸腔镜下肺癌中转手术的麻醉因素分析(英文)

作　　者：Lairong Sun Wenmin Xie 

机构地区：[1]Department of Anesthesiology, Jiangsu Province Tumor Hospital, Nanjing 210009, China

出　　处：《The Chinese-German Journal of Clinical Oncology》2011年第10期567-569,共3页中德临床肿瘤学杂志（英文版）

摘　　要：Objective： The aim of this study was to anesthesia analyse the factors of conversing video-assisted thoracic surgery to thoracectomy in pulmonary carcinoma. Methods： Double-lumen tube bronchial catheter intubation and interstitial positive pressure ventilation （IPPV） were used in all patients with video-assisted thoracic surgery after fast-speed venous induced anesthesia. IPPV, positive expiratory pressure （PEEP） and continuous positive airway pressure （CPAP） in collapse lobes of lung were used in one lung ventilation, and ventilation parameters were adjusted. Results： Two hundred and fifity- two patients double-lumen bronchial tube intubation used by fiberscope was located very well. The level of oxygen saturation of blood （Sp02）, end.tidal carbon dioxide pressure （PETCO2） could be maintained normal. 5 cases were forced to converse video-assisted thoracic surgery to thoracotomy because of 2 cases pulmonary adhesion, 2 cases severe pulmonary dysfunction and 1 case abnormal anatomy respectively. Conclusion： Long one lung ventilation such as pulmonary adhesion, severe pulmonary dysfunction and abnormal anatomy should be considered to be relative contraindication.

关 键 词：carcinoma bronchogenic THORACOSCOPY ANESTHESIA one lung ventilation 

分 类 号：S858.292[农业科学—临床兽医学] X591[农业科学—兽医学]