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临床试验/NCT02106273
NCT02106273已完成不适用

The Use of LMA-Proseal and Endobronchial Blocker for One Lung Anesthesia, Case Series.

Mahidol University1 个研究点 分布在 1 个国家目标入组 29 人开始时间: 2011年4月最近更新:
适应症

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

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

申办方类型
Other
责任方
Principal Investigator
主要研究者

Prasert Sawasdiwipachai

Instructor

Mahidol University

研究点 (1)

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