Preemptive one lung ventilation enhances lung collapse during thoracoscopic surgery: A randomized controlled trial
| Title: | Preemptive one lung ventilation enhances lung collapse during thoracoscopic surgery: A randomized controlled trial |
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| Authors: | Yunxiao Zhang, Wanpu Yan, Zhiyi Fan, Xiaozheng Kang, Hongyu Tan, Hao Fu, Zhendong Li, Ke‐Neng Chen, Jiheng Chen |
| Source: | Thoracic Cancer, Vol 10, Iss 6, Pp 1448-1452 (2019) |
| Publisher Information: | Wiley, 2019. |
| Publication Year: | 2019 |
| Collection: | LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens |
| Subject Terms: | Lung collapse, one‐lung ventilation (OLV), thoracoscopic surgery, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282 |
| More Details: | In routine practice, one lung ventilation (OLV) is initiated upon pleural opening. We conducted a randomized controlled trial to compare lung collapse after preemptive OLV versus conventional OLV in thoracoscopic surgery. A total of 67 patients were enrolled (34 with conventional OLV; 33 with preemptive OLV). Preemptive OLV was conducted by closing the DLT lumen to the non‐ventilated lung immediately upon assuming the lateral position with the distal port closed to the atmosphere until pleural opening (>6 minutes in all cases). Lung collapse was assessed at 1, 5, 10, 20, 30 and 40 minutes after pleural opening using a 10‐point rating scale (10: complete collapse). The primary end point was the duration from pleural opening to satisfactory lung collapse (score of 8). Secondary end points included PaO2 and hypoxemia. The duration from pleural opening to satisfactory lung collapse was shorter in the preemptive OLV group (9.1 ± 1.2 vs. 14.1 ± 4.7 minutes, P |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1759-7714 1759-7706 |
| Relation: | https://doaj.org/toc/1759-7706; https://doaj.org/toc/1759-7714 |
| DOI: | 10.1111/1759-7714.13091 |
| Access URL: | https://doaj.org/article/f69725dc86794f118b4314b2bcf975e4 |
| Accession Number: | edsdoj.f69725dc86794f118b4314b2bcf975e4 |
| Database: | Directory of Open Access Journals |
| ISSN: | 17597714 17597706 |
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| DOI: | 10.1111/1759-7714.13091 |
| Published in: | Thoracic Cancer |
| Language: | English |