The Use of LMA-Proseal and Endobronchial Blocker for One Lung Anesthesia, Case Series
Last updated on April 2022Recruitment
- Recruitment Status
- Completed
Inclusion Criteria
- thoracic surgery that needed one-lung ventilation Exclusion Criteria:patient with
- Restrictive lung disease that needed positive pressure ventilation > 30 cm.H2O
- Pulmonary nodule > 20 cm. or bronchilal pathology
- ...
- thoracic surgery that needed one-lung ventilation Exclusion Criteria:patient with
- Restrictive lung disease that needed positive pressure ventilation > 30 cm.H2O
- Pulmonary nodule > 20 cm. or bronchilal pathology
- Hemoptysis
- Emergency surgery
- Pneumonectomy or sleeve resection
- Pregnancy
- Severe infection or active pulmaonary tuberculosis
- Mass or hematoma in the mouth which obstruct LMA insertion
Summary
- Conditions
- Anesthetic Technique
- One Lung Ventilation
- 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 Criteria
- thoracic surgery that needed one-lung ventilation Exclusion Criteria:patient with
- Restrictive lung disease that needed positive pressure ventilation > 30 cm.H2O
- Pulmonary nodule > 20 cm. or bronchilal pathology
- ...
- thoracic surgery that needed one-lung ventilation Exclusion Criteria:patient with
- Restrictive lung disease that needed positive pressure ventilation > 30 cm.H2O
- Pulmonary nodule > 20 cm. or bronchilal pathology
- Hemoptysis
- Emergency surgery
- Pneumonectomy or sleeve resection
- Pregnancy
- Severe infection or active pulmaonary tuberculosis
- Mass or hematoma in the mouth which obstruct LMA insertion
Tracking Information
- NCT #
- NCT02106273
- Collaborators
- Not Provided
- Investigators
- Principal Investigator: Prasert Sawasdiwipachai, MD Mahidol University
- Prasert Sawasdiwipachai, MD Mahidol University
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