Effect of tracheal catheter obliquely facing right in guidance of blind insertion of bronchial occluder for the patients with single-lung ventilation
10.7619/jcmp.201908012
- VernacularTitle:气管导管斜面向右引导支气管堵塞器盲探置入对单肺通气患儿的影响
- Author:
Dongjie PEI
1
;
Ting XIAO
Author Information
1. 湖南省儿童医院 麻醉科
- Keywords:
trachea catheter;
single-lung ventilation;
bronchial occluder;
hypoxemia;
airway edema
- From:
Journal of Clinical Medicine in Practice
2019;23(8):45-46,50
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical efficacy and safety of blind insertion of bronchial occluder for children with one-lung ventilation under the guidance of tracheal catheter obliquely facing right or left. Methods A total of 70 children undergoing right thoracotomy in our hospital were selected as study subjects, and were randomly divided into observation group (trachea tube inclined to right) and control group (trachea tube inclined to left), with 35 cases in each group. The baseline data and related clinical indexes, and the incidence of postoperative complications were compared between the two groups. Results There was no significant difference in baseline data between the two groups (P＞ 0. 05). The blocking time in the observation group was significantly shorter, the rate of one-time success rate was higher, and the incidences of airway edema and hypoxemia after operation were significantly lower than that in the control group (P ＜ 0. 05). Conclusion The adjustment of the opening slope of the tracheal catheter to the right can effectively shorten the total timeconsuming of plugging, improve the one-time insertion success rate, and reduce the incidence of postoperative complications.
