Recruitment

Recruitment Status
Completed

Inclusion Criterias

Restrictive lung disease that needed positive pressure ventilation > 30 cm.H2O
thoracic surgery that needed one-lung ventilation Exclusion Criteria:patient with
Emergency surgery
...
Restrictive lung disease that needed positive pressure ventilation > 30 cm.H2O
thoracic surgery that needed one-lung ventilation Exclusion Criteria:patient with
Emergency surgery
Mass or hematoma in the mouth which obstruct LMA insertion
Hemoptysis
Severe infection or active pulmaonary tuberculosis
Pregnancy
Pneumonectomy or sleeve resection
Pulmonary nodule > 20 cm. or bronchilal pathology

Summary

Conditions
  • Anesthetic Technique
  • One-lung Ventilation
Type
Observational
Design
  • Observational Model: Case-Only
  • Time Perspective: Prospective

Participation Requirements

Age
Between 18 years and 75 years
Gender
Both males and females

Description

The use of LMA has gained popularity secondary to benefits confirmed by many literatures. However, LMA is rarely used in thoracic surgery. To enable one-lung ventilation, the LMA need to be used with bronchial blocker. The use of this combination has been reported as a rescue technique in special cl...

The use of LMA has gained popularity secondary to benefits confirmed by many literatures. However, LMA is rarely used in thoracic surgery. To enable one-lung ventilation, the LMA need to be used with bronchial blocker. The use of this combination has been reported as a rescue technique in special clinical scenarios, i.e. patient with difficult airway. When used in patient with difficult airway, the LMA will be inserted until proper ventilation achieved, then endobronchial blocker will be subsequently placed through the LMA into the selected main bronchus. The success rate of the the bronchial blocker placement via properly placed LMA has never been studied. This pilot study was designed to evaluate the success rate, the quality of lung collapsed, the dislodgement or other associated problems including some minor complications i.e. postoperative dysphagia, sore throat hoarseness of voice.

Inclusion Criterias

Restrictive lung disease that needed positive pressure ventilation > 30 cm.H2O
thoracic surgery that needed one-lung ventilation Exclusion Criteria:patient with
Emergency surgery
...
Restrictive lung disease that needed positive pressure ventilation > 30 cm.H2O
thoracic surgery that needed one-lung ventilation Exclusion Criteria:patient with
Emergency surgery
Mass or hematoma in the mouth which obstruct LMA insertion
Hemoptysis
Severe infection or active pulmaonary tuberculosis
Pregnancy
Pneumonectomy or sleeve resection
Pulmonary nodule > 20 cm. or bronchilal pathology

Locations

Bangkok, 10700
Bangkok, 10700

Tracking Information

NCT #
NCT02106273
Collaborators
Not Provided
Investigators
  • Principal Investigator: Prasert Sawasdiwipachai, MD Mahidol University
  • Prasert Sawasdiwipachai, MD Mahidol University