A comparative study of two- versus one-lung ventilation for needlescopic bleb resection

H. Kim; H. K. Kim; D. Y. Kang; D. K. Lee; Y. H. Choi; S. H. Lim

doi:10.1183/09031936.00056810

A comparative study of two- versus one-lung ventilation for needlescopic bleb resection

H. Kim, H. K. Kim, D. Y. Kang, D. K. Lee, Y. H. Choi, S. H. Lim

Department of Biomedical Sciences

Research output: Contribution to journal › Article › peer-review

10 Citations (Scopus)

Abstract

This prospective study was conducted to evaluate the feasibility of two-lung (TL) ventilation with low tidal volume anaesthesia compared with one-lung (OL) ventilation for needlescopic bleb resection. Patients with spontaneous pneumothorax that underwent bleb resection with a 2-mm thoracoscope were enrolled. During the operation, the tidal volume was set at 4.0 mL·kg^-1 in the TL group and 8.0 mL·kg^-1 in the OL group; the respiration rate was set at 23 and 12 breaths·min ^-1, respectively, at the same inspiratory oxygen fraction (50%). A total of 108 patients (55 patients in the TL group and 53 in the OL group) were included in this study. Airway pressure was significantly lower in the TL group (mean±SD 8.0±3.3 versus 24.0±3.9 mmHg in the OL group; p<0.001). The time from endotracheal intubation to the incision was 17.1±4.0 min in the TL group and 35.3±7.6 min in the OL group, which was significantly different (p<0.001). However, the operation time was not different in comparisons between the two groups. Therefore, the total anaesthesia time was significantly longer in the OL group (77.9±21.6 versus 64.9±14.7 min in the TL group; p=0.002). Needlescopic bleb resection using TL ventilation anaesthesia with low tidal volume was technically feasible, cost-effective and time-saving compared with OL ventilation anaesthesia. Copyright

Original language	English
Pages (from-to)	1183-1188
Number of pages	6
Journal	European Respiratory Journal
Volume	37
Issue number	5
DOIs	https://doi.org/10.1183/09031936.00056810
Publication status	Published - 2011 May 1

Keywords

Anaesthesia
Pneumothorax
Ventilation
Video-assisted thoracoscopic surgery

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine

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10.1183/09031936.00056810

Cite this

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title = "A comparative study of two- versus one-lung ventilation for needlescopic bleb resection",

abstract = "This prospective study was conducted to evaluate the feasibility of two-lung (TL) ventilation with low tidal volume anaesthesia compared with one-lung (OL) ventilation for needlescopic bleb resection. Patients with spontaneous pneumothorax that underwent bleb resection with a 2-mm thoracoscope were enrolled. During the operation, the tidal volume was set at 4.0 mL·kg-1 in the TL group and 8.0 mL·kg-1 in the OL group; the respiration rate was set at 23 and 12 breaths·min -1, respectively, at the same inspiratory oxygen fraction (50%). A total of 108 patients (55 patients in the TL group and 53 in the OL group) were included in this study. Airway pressure was significantly lower in the TL group (mean±SD 8.0±3.3 versus 24.0±3.9 mmHg in the OL group; p<0.001). The time from endotracheal intubation to the incision was 17.1±4.0 min in the TL group and 35.3±7.6 min in the OL group, which was significantly different (p<0.001). However, the operation time was not different in comparisons between the two groups. Therefore, the total anaesthesia time was significantly longer in the OL group (77.9±21.6 versus 64.9±14.7 min in the TL group; p=0.002). Needlescopic bleb resection using TL ventilation anaesthesia with low tidal volume was technically feasible, cost-effective and time-saving compared with OL ventilation anaesthesia. Copyright",

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A comparative study of two- versus one-lung ventilation for needlescopic bleb resection

Abstract

Keywords

ASJC Scopus subject areas

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