Effects of non-endotracheal intubation versus endotracheal intubation in thoracic surgery
- VernacularTitle:非气管插管与气管插管在胸外科手术应用的效果对比
- Author:
Yang YU
1
;
Yujin LI
2
;
Xiangu NING
1
;
Xinlong CHEN
1
;
Jiayang XU
3
;
Linsheng CAI
3
;
Fengxian CUI
1
;
Hua JIN
2
;
Jun PENG
1
Author Information
1. Department of Thoracic Surgery, The First People鈥檚 Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming, 650200, P. R. China
2. Department of Anesthesiology, The First People鈥檚 Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology, Kunming, 650200, P. R. China
3. Kunming University of Science and Technology School of Medicine, Kunming, 650000, P. R. China
- Publication Type:Journal Article
- Keywords:
Non-intubation anesthesia;
thoracic surgery;
postoperative rehabilitation;
inflammatory response
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(05):602-606
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the feasibility and safety of non-intubation anesthesia in thoracic surgery. Methods From September 2017 to December 2019, 296 patients were operated at department of thoracic surgery in our hospital. There were 167 males and 129 females with an average age of 50.69±12.95 years, ranging from 16 to 76 years. The patients were divided into two groups according to whether they were intubated: 150 patients were in a non-intubation group, including 83 males and 67 females with an average age of 49.91±13.59 years, ranging from 16 to 76 years, and 146 patients were in an intubation group including 84 males and 62 females with an average age of 51.49±12.26 years, ranging from 16 to 74 years. Intraoperative data, postoperative recovery, inflammatory response of the two groups were compared. Results There was no statistical difference between the two groups in operation time, blood loss, the lowest oxygen saturation or other indicators (P>0.05). But the highest partial pressure of carbon dioxide of the non-intubation group was higher than that of the intubation group (P=0.012). The non-intubation group was superior to the intubation group in postoperative recovery and inflammatory response (P<0.05). Conclusion The non-intubation anesthesia is safe and maneuverable in thoracic surgery, and it has some advantages in accelerating postoperative rehabilitation.
