The anesthesia for thoracoscopic assisted cardiac surgery
Feng Long
Wang Gang
Chen Ting-ting
Zhou Qi
Wang Wen-rui
Wu Shu-ling
Qu Shui
Abstract：Objective To investigate the anesthesia management for the thoracoscopic assisted cardiac surgery.Methods Thirty-eight patients underwent thoracoscopic assisted cardiac surgery from December 2015 to April 2017,including 18 ASD repair surgery,10 left atrium mass cutting surgery,2 right atrium mass cutting surgery and 8 mitral valve repair surgery.All patients received the total intravenous anesthesia.The tracheal was intubated with a left-sided double-lumen endotracheal tube (DLT) which was positioned by the fiberoptic bronchoscopy (FOB).Besides routine monitoring,invasive blood pressure,CVP,pulmonary artery pressure and transesophageal echocardiography(TEE) were also regularly monitored.Results All patients were smoothly completed the surgery.The postoperative mechanical ventilation time was 10.75±5.6 hours,the length of ICU stay was 2.0±0.74 days,and the hospital stay was 7.17±2.3 days after operation.4 ASD repair patients and 3 mitral valve repair patients occurred severe hypoxia during one lung ventilation after weaning off the CPB.Conclusion To adopt reasonable measures to manage one lung ventilation and to prevent severe hypoxia after weaning off the CPB are the key points of the anesthesia management in the thoracoscopic assisted cardiac surgery.
Keywords：AnesthesiaOne lung ventilationHypoxiaMinimize cardiac surgeryTransesophageal echocardiography
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：3( 163-165 )