دورية أكاديمية
[Risk factors for intraoperative hypoxemia during monopulmonary ventilation: an observational study].
| العنوان: | [Risk factors for intraoperative hypoxemia during monopulmonary ventilation: an observational study]. |
|---|---|
| عنوان ترانسليتريتد: | Fatores de risco para hipoxemia intraoperatória durante ventilação monopulmonar: estudo observacional. |
| المؤلفون: | Yao HY; Taipei Medical University, Wan Fang Hospital, Department of Anesthesiology, Taipei, Taiwan; Taichung Veterans General Hospital, Cardiovascular Center and Department of Medicine, Chiayi, Taiwan., Liu TJ; National Yang-Ming University, School of Medicine, Department of Medicine, Taipei, Taiwan; Taichung Veterans General Hospital, Cardiovascular Center and Department of Medicine, Chiayi, Taiwan., Lai HC; National Yang-Ming University, School of Medicine, Department of Medicine, Taipei, Taiwan; Taichung Veterans General Hospital, Cardiovascular Center and Department of Medicine, Chiayi, Taiwan; Taichung Veterans General Hospital, Department of Anesthesiology, Taichung, Taiwan. Electronic address: 854k854k@gmail.com. |
| المصدر: | Brazilian journal of anesthesiology (Elsevier) [Braz J Anesthesiol] 2019 Jul - Aug; Vol. 69 (4), pp. 390-395. Date of Electronic Publication: 2019 Aug 03. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | Portuguese |
| بيانات الدورية: | Publisher: Elsevier Editora Ltda Country of Publication: Brazil NLM ID: 101624623 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2352-2291 (Electronic) Linking ISSN: 01040014 NLM ISO Abbreviation: Braz J Anesthesiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Rio de Janeiro : Elsevier Editora Ltda, 2013- |
| مواضيع طبية MeSH: | Bronchi/*anatomy & histology , Hypoxia/*epidemiology , Intubation, Intratracheal/*methods , One-Lung Ventilation/*methods, Adult ; Aged ; Female ; Humans ; Intraoperative Complications/epidemiology ; Male ; Middle Aged ; Retrospective Studies ; Risk Factors ; Tomography, X-Ray Computed |
| مستخلص: | Background: Left double-lumen endotracheal tubes have been widely used in thoracic, esophageal, vascular, and mediastinal procedures to provide lung separation. Lacking clear objective guidelines, anesthesiologists usually select appropriately sized double-lumen endotracheal tubes based on their experience with 35 and 37Fr double-lumen endotracheal tubes, which are the most commonly used. We hypothesized the patients with a left main bronchus of shorter length (<40mm) had a greater chance of experiencing desaturation during one lung ventilation, due to obstruction in the orifice of the left upper lobe with the bronchial tube. Methods: We included 360 patients with a left double-lumen intubated between September 2014 and August 2015. The patient's age, sex, height, weight, and underlying disease were recorded along with type of surgical procedure and the desaturation episodes. In addition, the width of the trachea and the width and length of the left bronchus were measured using computed tomography. Result: Patients with a left main bronchus length of less than 40mm who underwent intubation with a left double-lumen endotracheal tubes had significantly higher incidence of desaturation (Odds Ratio (OR: 8.087)) during one-lung ventilation. Other related factors of patients identified to be at risk of developing hypoxia were diabetes mellitus (OR: 5.368), right side collapse surgery (OR: 4.933), and BMI (OR: 1.105). Conclusions: We identified that patients with a left main bronchus length of less than 40mm have a great chance of desaturation, especially if other desaturation risk factors are present. (Copyright © 2019 Sociedade Brasileira de Anestesiologia. Publicado por Elsevier Editora Ltda. All rights reserved.) |
| References: | J Cardiothorac Vasc Anesth. 1992 Dec;6(6):705-10. (PMID: 1472668) J Cardiothorac Vasc Anesth. 1997 Apr;11(2):168-71. (PMID: 9105987) J Cardiothorac Vasc Anesth. 1995 Apr;9(2):117-8. (PMID: 7780064) Acta Anaesthesiol Scand. 1997 Oct;41(9):1218-20. (PMID: 9366947) Anaesth Intensive Care. 2003 Feb;31(1):50-3. (PMID: 12635395) J Clin Diagn Res. 2013 Sep;7(9):1874-7. (PMID: 24179886) Anesth Analg. 1993 Dec;77(6):1222-6. (PMID: 8250316) J Clin Anesth. 2005 Jun;17(4):267-70. (PMID: 15950850) Can J Anaesth. 1992 Dec;39(10):1030-5. (PMID: 1464128) Anaesth Intensive Care. 2006 Oct;34(5):618-20. (PMID: 17061637) Anesth Analg. 1999 Feb;88(2):302-5. (PMID: 9972745) Anesth Analg. 1998 Jul;87(1):158-60. (PMID: 9661566) Anesthesiology. 1987 Nov;67(5):729-38. (PMID: 3674473) Anesthesiology. 2009 Jun;110(6):1402-11. (PMID: 19417615) Korean J Anesthesiol. 2014 Mar;66(3):181-2. (PMID: 24729837) Anesthesiology. 1989 Sep;71(3):457-9. (PMID: 2774277) Br J Anaesth. 2004 Feb;92(2):195-201. (PMID: 14722168) J Clin Diagn Res. 2014 Nov;8(11):BC01-4. (PMID: 25584206) Anesth Analg. 1996 Apr;82(4):861-4. (PMID: 8615510) |
| فهرسة مساهمة: | Keywords: Brônquio principal esquerdo; Desaturation; Dessaturação; Double lumen; Duplo lúmen; Left main bronchus; Monopulmonary ventilation; Ventilação monopulmonar |
| تواريخ الأحداث: | Date Created: 20190808 Date Completed: 20200219 Latest Revision: 20220822 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9391880 |
| DOI: | 10.1016/j.bjan.2019.03.012 |
| PMID: | 31387740 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2352-2291 |
|---|---|
| DOI: | 10.1016/j.bjan.2019.03.012 |