Thoracoscopelungcancer resection with non tracheal intubation anesthesia
10.3969/j.issn.1007-1989.2017.08.002
- VernacularTitle:非气管插管胸腔镜下肺癌手术的临床应用
- Author:
Jiyun WANG
;
Ting LI
;
Wei ZOU
;
Wangang LI
;
Tianwei LIU
;
Haoyin TIAN
;
Bengang LIU
;
Jianwei ZHANG
- Keywords:
laryngeal mask;
endotracheal intubation;
thoracoscopy;
pulmonary carcinomaresection
- From:
China Journal of Endoscopy
2017;23(8):7-12
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility and safety of thoracoscopic lung cancer surgery under non-tracheal intubation anesthesia. Methods Twenty patients with peripheral lung cancer were enrolled in experimental group and control group. Then monitored and recorded Systolic pressure (SBP), diastolic pressure (DBP), mean arterial pressure (MAP), heart rate (HR), electrocardiogram (ECG), heart rate (HR), Oxygen saturation (SpO2), Final moisture CO2 partial pressure (PETCO2), central venous pressure, invasive arterial blood pressure and blood glucose and the related complications like sore throat, hoarse voice, nausea and so onin such time points: before induction (T0), induction of intubation (T1), operation (T2), and sudden removal (T3) of the two groups. Results The laryngeal mask group was given a smaller stimulus to the cardiovascular system during anesthesia.The time of feeding, the exhaust, the time of getting out of bed, the average hospitalization day, the reduction of hospitalization expenses, pharynx, respiratory and cardiovascular complications were shorter and less than intubation group. Conclusion The laryngeal mask ventilation intravenous anesthesia with thoracic vagal nerve block in the thoracoscopic lobectomy is simple, safe, no intubation-related complications and single lung ventilation lung injury, in line with surgery -anesthesia overall minimally invasive development concept, worthy of clinical promotion.
