Comparison of the effect of Arndt endobronchial blocker and double-lumen tube on one lung ventilation in children

doi:10.3969/j.issn.1006-7795.2017.03.007

Abstract

Abstract: Objective To compare the effect of Arndt endobronchial blocker and double-lumen tube on one lung ventilation in children undergoing thoracic surgery.Methods Fourty children undergoing thoracic surgery were divided into Arndt endobronchial blocker group(Group A,n=20) and double -lumen tube group (Group D,n=20) randomly. Anesthetic management and lung isolation were performed according to a standardized protocol.The changes of MAP,HR,PetCO₂ and Paw were recorded at the following time point,intubation tube before(T₁),intubation tube(T₂),double lung ventilation(T₃),one lung ventilation(T₄).The intubation time,lung collapse time,one lung ventilation time,hypoxemia duration of surgery and adverse event and others were recorded. Results Arndt endobronchial blocker group compare with double-lumen tube group,the Paw and PetCO₂ were lower at the time of one lung ventilation (P<0.05); the intubation time was shorter (P<0.05); the time of lung collapse was longer (P<0.05); and the lung collapse score was higher (P<0.05). Conclusion Compared with inserting double-lumen tube blind, Arndt endobronchial blocker inserted by fiber bronchoscope can provide better one lung ventilation in children undergoing thoracic surgery.

Key words: Arndt endobronchial blocker, double-lumen tube, children, one lung ventilation

CLC Number:

R614

Liu Guoliang, Zhang Jianmin. Comparison of the effect of Arndt endobronchial blocker and double-lumen tube on one lung ventilation in children[J]. Journal of Capital Medical University, 2017, 38(3): 361-364.

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URL: https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/10.3969/j.issn.1006-7795.2017.03.007

https://journal03.magtech.org.cn/Jweb_sdykdxxb/EN/Y2017/V38/I3/361

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