No abstract available.
One-Lung Ventilation

No abstract available.
One-Lung Ventilation*

Environmental and occupational health are interconnected disciplines of public health that are concerned in maintaining a symbiotic relationship between the ecosystem and humans. This relationship is under threat by the continuous and alarming increase of the Earth's temperature causing climate change that impacts not just health but also the economy and the safety of the population. The First National Environmental and Occupational Health Forum was organized by the Department of Environmental and Occupational Health, College of Public Health, University of the Philippines Manila to address and discuss the complex issues that the Philippines is currently experiencing when it comes to environmental and occupational health by providing a space where stakeholders from different sectors can actively participate in mapping out challenges and opportunities. The organizer's long-term vision is to catalyze and build a network of collaboration that is geared towards the improvement of health and safety in the workplace that involves mitigating the effects of climate change. The discussions in the forum gave a comprehensive insight into the different challenges we face for being one of the most vulnerable countries to natural disasters: how this affects health, workplace, and environment. These challenges created new opportunities for the country to build resilience and formulate adaptive strategies to decrease the vulnerability of the population especially the workforce who are constantly exposed to different hazards that are exacerbated by changes in the environment.

A method for one-lung anesthesia has been developed in which Fogarty occiusion catheter is used to produce endobronchial blockade. It eliminates most of the problems which occur with the standard technique using a doublelumen cuffed endobronchial tube. No significant problem has been endobronchial tube. No significant problem has been encountered in this bronchoplasty case. This method is so simple and effective. A standard endotracheal tube was introduced, and a Fogarty catheter was inserted through the endotracheal tube to the desired main bronchus just before the left abnormal bronchus was open. After opening the bronchus, the Fogarty catheter could be placed in the appropriate location by sight. Once one-lung ventilation was no longer necessary, the Fogarty catheter could be deflated without distrubing the endotracheal tube.
Anesthesia* ; Bronchi ; Catheters* ; Lung* ; One-Lung Ventilation

A number of complications during the use of double-lumen endobronchial tubes are reported, specifically tracheobronchial rupture, a rare but serious complication. Risk factors associated with tracheobronchial rupture include inexperienced endoscopists, intubating stylets, multiple vigorous attempts at intubation, overdistension of the tracheal or bronchial cuff with high pressure, position change with an inflated cuff, and anatomical abnormality. We report 2 cases of tracheobronchial rupture which occurred during the use of double-lumen endobronchial tubes.
Intubation ; One-Lung Ventilation* ; Risk Factors ; Rupture*

No abstract available.
Humans ; Laryngectomy ; One-Lung Ventilation ; Tracheostomy

Tracheal bronchus (TB) is an aberrant, accessary or ectopic bronchus arising almost exclusively from the right side of the tracheal wall above the carina. In our center, 673 bronchoscopic examinations were performed from 2009 to 2011 in patients undergoing one lung ventilation (OLV) and 3 TB were found. The incidence of a TB at bronchoscopy was 0.45% in our research, which is consistent with the reported incidence range from 0.1-5%. The clinician should consider the possibility of anomalous right upper lobe bronchus and perform bronchoscopy prior to the right bronchial blocker insertion, when left-sided OLV using bronchial blocker is planned. Also, for the patient with TB, a double lumen tube insertion is recommended than a blocker insertion to achieve OLV completely.
Bronchi ; Bronchoscopy ; Humans ; Incidence ; One-Lung Ventilation

The chemotherapy unit of our hospital came into existence in April 2002. Since then, we, nurses, have teamed up together in support of cancer patients who visited us for receiving chemotherapy. We investigated the use of the facilities during the first 12 months since the opening of the unit, and made a questionnaire survey to sound out the degree of the patients’ satisfaction and needs. This paper describes our findings.The number of patients who used the chemotherapy unit came to 1,213. The questionnaire survey were conducted on 40 outpatients who initially had visited the department of surgery of our hospital. Of the patient supporting tools, the self-help notebooks were utilized by 27 patients. Those patients who said they took nurses into their confidence numbered 34. They expressed their anguish and uneasy feelings in connection with the condition of their disease and treatment. The same number of patients replied that they wanted to receive chemotherapy even if extra charges were involved. From these findings, it could be said that the patients’satisfaction was great. However, it was also suggested that to obtain the informed consent from the patients there should be explanatory leaflet which explain the therapeutic procedure and additional fees in plain language, that repeated instructions about side effects should be given orally, and that nurses are required to occasionally act as moderators between the unit and other departments in accordance with the patients’wishes. These are some of the patients’needs. To fill them, further studies must be made.
Chemotherapy-Oncologic Procedure ; Unit ; findings ; Satisfaction ; One

BACKGREOUND: When a double-lumen endotracheal tube (DLT) is used for one-lung ventilation, its position should be accurate. But only a few studies has been performed about how to predict the depth of insertion for DLT preoperatively. The purpose of this study is to investigate which physical measurements are correlated with the depth of insertion for left-sided DLT and how the depth of insertion for DLT can be explained with these physical measurements. METHODS: After placing a 5 cm-high pillow under the patient's head, we intubated left-sided disposable DLT (BronchocathTM, Mallinckrodt medical Ltd, USA) in 65 adults. We tape-measured sternocleidomastoid muscle (SCM) length and sternal length. We positioned the proximal margin of the bronchial cuff of DLT just below carinal bifurcation through fiberoptic bronchoscope, and recorded the depth of insertion for DLT at the upper incisor level. RESULTS: The depth of insertion for DLT was correlated with both height (y=3.96+0.15x, r2=0.51, p=0.0001) and SCM length (y=16.73+0.82x, r2=0.49, p=0.0001). Sternal length (r2=0.11, p=0.0081) was weakly correlated with the depth of insertion for DLT. The best regression model was depth of insertion for DLT (cm)=6.88+0.09 height (cm)x0.46 SCM length (cm). CONCLUSIONS: The depth of insertion for DLT is correlated with SCM length as well as height. So we may use them in predicting the depth of insertion for DLT.
Adult ; Bronchoscopes ; Head ; Humans ; Incisor ; One-Lung Ventilation

BACKGROUND: Use of one lung anesthesia for thoracic surgery may compromize PaO2. The aim of this study was to compare the shunt and oxygenation effects of the application of CPAP and CPAP/PEEP between right and left thoracic surgery under one lung anesthesia. METHODS: 10 patients for right thoracic surgery were selected as group 1, and 10 patients for left thoracic surgery were selected as group 2. Measurements in each group, were made during each of the following stage. First 30 minutes, One lung anesthesia alone with 50% oxygen (control value), next 30 minutes, CPAP 10 cmH2O to upper lung with 50% oxygen (CPAP), and then CPAP 10 cmH2O to upper lung and PEEP 10 cmH2O to down lung with 50% oxygen for 30 minutes (CPAP/PEEP). RESULTS: PaO2 in CPAP and CPAP/PEEP were significantly increased as compare to control value at both group (P<0.05). Shunt percentage in CPAP and CPAP/PEEP were significantly decreased as compare to control value at both group (P<0.05). But, no statistically significant differences were observed between right and left thoracic surgery group in the PaO2 and shunt percentage. CONCLUSIONS: We confirmed that CPAP and CPAP/PEEP during one lung ventilation is thought to be effective method in preventing hypoxemia, but no differences were observed between right and left thoracic surgery group.
Anesthesia ; Anoxia ; Humans ; Lung ; One-Lung Ventilation* ; Oxygen* ; Thoracic Surgery*