Potential role of transcutaneous carbon dioxide monitoring in nonintubated video-assisted thoracic surgery
| Autor: | Tzu-Ying Li, Jockey Tse |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Thoracic Surgery Video-Assisted business.industry Nonintubated video-assisted thoracic surgery MEDLINE Original Articles General Medicine Anesthesia General Carbon Dioxide Thopaz Digital Chest Drainage System Carbon dioxide monitoring Video assisted thoracic surgery Emergency medicine medicine Humans Transnasal humidified rapid-insufflation ventilatory exchange business Lung wedge resection surgery |
| Zdroj: | Journal of the Chinese Medical Association |
| ISSN: | 1726-4901 |
| DOI: | 10.1097/jcma.0000000000000466 |
| Popis: | Background: Nonintubated video-assisted thoracic surgery (VATS) is widely used due to its acceptable postoperative outcomes. Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) has been successfully applied in cases of prolonged difficult intubation and intensive respiratory care in patients receiving VATS lobectomy. Thopaz Digital Chest Drainage System (THOPAZ) provides regulated negative pressure close to the patient’s chest, optimizing drainage of the pleural and mediastinum. We explored the surgical outcomes of nonintubated VATS lung wedge resection and traditional wedge resection with a double-lumen endotracheal tube. Methods: Patients who received nonintubated VATS lung wedge resection (group A, n = 81) and traditional wedge resection with double-lumen endotracheal tube (group B, n = 79) during the period of November 2015 to April 2018 were enrolled in the study. Demographic data and operation outcomes were obtained and analyzed from review of patient medical charts. Results: Group B had significantly longer mean induction and operative times than group A. Similarly, group B suffered greater intraoperative blood loss, longer postoperative hospital stays, and increased chest tube retention times than group A. Group A had higher partial pressure of carbon dioxide levels in both the pre-one-lung and during one-lung ventilation periods than group B. Furthermore, group A showed lower serum pH levels during one-lung ventilation period. However; group A had significantly higher partial pressure of oxygen levels during one-lung ventilation than group B, although the differences in peripheral oxygen saturation were not statistically significant. Conclusion: Our study demonstrated that nonintubated VATS using THRIVE and THOPAZ in lung wedge resection provides measurable benefits to patients. |
| Databáze: | OpenAIRE |
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