Use of right bronchial occluder placement and positioning under left-lateral position
10.19405/j.cnki.issn1000-1492.2017.09.036
- VernacularTitle:左侧卧位下右支气管封堵器定位的应用
- Author:
Mei QIAN
1
;
Yuanhai LI
;
Zhijun ZONG
Author Information
1. 安徽医科大学第一附属医院麻醉科
- Keywords:
fiber bronchoscope;
bronchial occluder;
radical resection of esophageal carcinoma;
one lung ventilation
- From:
Acta Universitatis Medicinalis Anhui
2017;52(9):1412-1414
- CountryChina
- Language:Chinese
-
Abstract:
40 patients to undergo video-assisted thoracoscopic radical resection of esophageal carcinoma through right thoracotomy were randomly divided intogroup of horizontal position (group S) and group left lateral position (group L),and with 20 patients in each group respectively.The bronchial occluder was placed into the right bronchia guided by fiber bronchoscope after tracheal intubation following the anesthesia induction in each group,while the occluder of group S was placed under the left lateral position,while that of group L was inserted under horizontal position.Then,we observed including the occluder displacement,the number of the use of fiber bronchoscope and the satisfaction degree of pulmonary collapse in the two groups.The differences of the occluder displacement number under lateral position,the number of the use of fiber bronchoscope in the two groups were statistically significant,while there was no statistical difference in the satisfaction degree of pulmonary collapse between the two groups.The fiber bronchoscope-guided bronchial occluder placement into the right bronchia under left-lateral position is able to prevent the displacement during lateral position process and reduce the number of use of fiber bronchoscope,which is deserved to be recommended into the clinical practice.
