目的对右Robertshaw双腔气管导管插管进行研究,进一步指导右侧双腔气管导管插管。方法40例病人,拟行左侧入路胸科手术。所有病人均采用右侧35 F Robertshaw双腔气管导管(DLT)。插管后先用听诊法进行分隔定位,记录导管深度。随后用支气...目的对右Robertshaw双腔气管导管插管进行研究,进一步指导右侧双腔气管导管插管。方法40例病人,拟行左侧入路胸科手术。所有病人均采用右侧35 F Robertshaw双腔气管导管(DLT)。插管后先用听诊法进行分隔定位,记录导管深度。随后用支气管纤维镜检查DLT位置作出分析并调整导管。调整好导管位置后,记录插管深度。病人摆好体位后,再一次纤支镜检查导管位置并调整。观察不同方法下右DLTs插管分隔的情况及体位变动对导管位置的影响。结果听诊下有8例经反复调整导管无法到位,在纤支镜下直接定位。在听诊定位后经纤支镜检查,发现导管位置不当5例,导管位置严重不当的24例,以远端错位为主21例。在纤支镜直接定位下仍有8例病人导管位置严重不当。改变体位后再检查,有14例发生了导管移位。其中8例出现严重位置不当。以近端移位为主12例。结论右Robertshaw双腔气管导管在听诊法下插管分隔成功率低,纤支镜可以有效进行分析定位。而改变体位常使导管位置改变,在体位改变后应常规重新定位。展开更多
Objective To compare the DLT with the torque control blocker univent(TCBU) and to determine whether there are objective advantages of one over the other in one-lung ventilation during elective thoracic surgical cases....Objective To compare the DLT with the torque control blocker univent(TCBU) and to determine whether there are objective advantages of one over the other in one-lung ventilation during elective thoracic surgical cases.Methods 60 patients needing one-lung ventilation during elective thoracic surgical cases were randomly divided into Group D(DLT) and Group U(TCBU).The following variables were recorded and compared:①time required for intubation and position each tube,②ration of successful blind intubation,③ increase in airway peak pressure(PIP),④frequency of malpositions,⑤number of times that the fiberoptic was achieved,⑥surgical exposure,and ⑦incidence of sore throat or hoarseness.Results Statistical difference were found in increase of PIP and incidence of sore throat(P < 0.05).No statistical difference were found in the time required to intubation and position each tube,the ration of successful blind intubation,the frequency of malpositions,the number of times that the fiberoptic was achieved and the surgical exposure(P > 0.05).Conclusion TCB univent applied for one-lung ventilation is as good as DLT,and in some specific clinical situations it can offer more advantages over the DLT.展开更多
文摘目的对右Robertshaw双腔气管导管插管进行研究,进一步指导右侧双腔气管导管插管。方法40例病人,拟行左侧入路胸科手术。所有病人均采用右侧35 F Robertshaw双腔气管导管(DLT)。插管后先用听诊法进行分隔定位,记录导管深度。随后用支气管纤维镜检查DLT位置作出分析并调整导管。调整好导管位置后,记录插管深度。病人摆好体位后,再一次纤支镜检查导管位置并调整。观察不同方法下右DLTs插管分隔的情况及体位变动对导管位置的影响。结果听诊下有8例经反复调整导管无法到位,在纤支镜下直接定位。在听诊定位后经纤支镜检查,发现导管位置不当5例,导管位置严重不当的24例,以远端错位为主21例。在纤支镜直接定位下仍有8例病人导管位置严重不当。改变体位后再检查,有14例发生了导管移位。其中8例出现严重位置不当。以近端移位为主12例。结论右Robertshaw双腔气管导管在听诊法下插管分隔成功率低,纤支镜可以有效进行分析定位。而改变体位常使导管位置改变,在体位改变后应常规重新定位。
文摘Objective To compare the DLT with the torque control blocker univent(TCBU) and to determine whether there are objective advantages of one over the other in one-lung ventilation during elective thoracic surgical cases.Methods 60 patients needing one-lung ventilation during elective thoracic surgical cases were randomly divided into Group D(DLT) and Group U(TCBU).The following variables were recorded and compared:①time required for intubation and position each tube,②ration of successful blind intubation,③ increase in airway peak pressure(PIP),④frequency of malpositions,⑤number of times that the fiberoptic was achieved,⑥surgical exposure,and ⑦incidence of sore throat or hoarseness.Results Statistical difference were found in increase of PIP and incidence of sore throat(P < 0.05).No statistical difference were found in the time required to intubation and position each tube,the ration of successful blind intubation,the frequency of malpositions,the number of times that the fiberoptic was achieved and the surgical exposure(P > 0.05).Conclusion TCB univent applied for one-lung ventilation is as good as DLT,and in some specific clinical situations it can offer more advantages over the DLT.
