Comparison of two different endotracheal tubes for one-lung ventilation during totally thoracoscopic mitral valve surgery on cardiopulmonary bypass
Zhang Tao-yuan
Qi Yang-yang
Lei Chong
Dong Hai-long
Zhang Hui
Hou Li-hong
Abstract：Objective To compare the efficacy and adverse effects of bronchial blocker and double-lumen endobronchial tube used in totally thoracoscopic mitral valve surgery on cardiopulmonary bypass. Methods Fifty-five patients undergoing totally thoraco-scopic mitral valve surgery on cardiopulmonary bypass were included and randomly divided into double lumen endobronchial tube group ( DLTs) or bronchial blocker group ( BBs) . The efficiency of insertion of two different tubes and hemodynamics during intubation, intraoperative mechanical ventilation parameters and adverse complications of airway were compared. Results Although bronchial bloc-ker tube placement in BBs took longer than double lumen endobronchial tube in DLTs, intubation of BBs had a more stable hemody-namics, and both groups had similar efficacy for one-lung ventilation. BBs were associated with significantly lower incidence of airway mucous injury, postoperative sore throat and hoarseness than DLTs. Conclusions Although bronchial blockers and double-lumen en-dobronchial tubes can both achieve good lung isolation and provide ideal operation conditions during totally thoracoscopic mitral valve surgery, bronchial blocker is preferred for these operations due to reduced airway complications.
Keywords：One-lung ventilationDouble-lumen endobronchial tubeBronchial blockerTotally thoracoscopicMitral valve surgeryCardiopulmonary bypass
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 76-80 )