The Use of LMA-Proseal and Endobronchial Blocker for One Lung Anesthesia, Case Series.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 29
- 试验地点
- 1
- 主要终点
- success rate
研究概览
简要总结
An observational pilot study to determine the success rate of using LMA Proseal in conjuction with endobronchial blocker to provide one-lung anesthesia for thoracic surgery.
详细描述
The use of LMA has gained popularity secondary to benefits confirmed by many literatures. However, LMA is rarely used in thoracic surgery. To enable one-lung ventilation, the LMA need to be used with bronchial blocker. The use of this combination has been reported as a rescue technique in special clinical scenarios, i.e. patient with difficult airway. When used in patient with difficult airway, the LMA will be inserted until proper ventilation achieved, then endobronchial blocker will be subsequently placed through the LMA into the selected main bronchus. The success rate of the the bronchial blocker placement via properly placed LMA has never been studied. This pilot study was designed to evaluate the success rate, the quality of lung collapsed, the dislodgement or other associated problems including some minor complications i.e. postoperative dysphagia, sore throat hoarseness of voice.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 75 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •thoracic surgery that needed one-lung ventilation
排除标准
- •patient with
- •Restrictive lung disease that needed positive pressure ventilation > 30 cm.H2O
- •Mass or hematoma in the mouth which obstruct LMA insertion
- •Emergency surgery
- •Pregnancy
- •Severe infection or active pulmaonary tuberculosis
- •Hemoptysis
- •Pulmonary nodule > 20 cm. or bronchilal pathology
- •Pneumonectomy or sleeve resection
结局指标
主要结局
success rate
时间窗: 15 mintues
can provide one-lung ventilation within 15 mintues
次要结局
- Time consuming in achieving one-lung anesthesia(15 mintues)
- Sorethroat(1 day)
- Hoarseness of voice(1 day)
- Difficulty swallowing(1 day)
研究者
Prasert Sawasdiwipachai
Instructor
Mahidol University
