Cardiothoracic & vascular anesthesia
Facilitating Lung Collapse for Thoracoscopic Surgery Utilizing Endobronchial Airway Occlusion Preceded by Pleurotomy and One-minute Suspension of Two-lung Ventilation
Authors' conclusion
Suspending ventilation of both DLT limbs for 1 minute after pleural cavity opening and then clamping the DLT lumen of the isolated lung resulted in a more rapid deflation of the surgical lung.
Study context
- Population
- Patients undergoing elective video-assisted thoracoscopic surgery
- Participants
- 60 patients
- Comparison
- Open-clamp airway technique vs OLV started in lateral decubitus position
- Primary endpoint
- Time to complete lung collapse, scored from video clips taken during surgery
Methodological detailssingle-center, single-blind
- Single-center
- Single-blind
Primary result
As reported in the abstract
Time to complete lung collapse
Secondary outcomes
| Outcome | OCAT | Control | P value |
|---|---|---|---|
| Complete lung collapse at 30 minutesDifference significant | P < 0.001 | ||
| Surgeon satisfaction with surgeryHigher in the OCAT group | 8.5 ± 0.2 | 6.8 ± 0.2 | P < 0.001 |
Safety
Intraoperative hypoxemia
- No difference between groups
Original publication
Facilitating Lung Collapse for Thoracoscopic Surgery Utilizing Endobronchial Airway Occlusion Preceded by Pleurotomy and One-minute Suspension of Two-lung Ventilation. J Cardiothorac Vasc Anesth. Published 5 November 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →