Impact of supraglottic device with assist ventilation under general anesthesia combined with nerve block in uniportal video-assisted thoracoscopic surgery.

Medicine
Xiaobing XiangYanhong Lian

Abstract

With the improvement of anesthesia and surgical techniques, supraglottic device with assist ventilation under general anesthesia (GA) combined with nerve block is gradually applied to video-assisted thoracoscopic surgery. However, the safety of assist ventilation has not been fully confirmed, and a large number of samples should be studied in clinical exploration. The subjects included 120 patients, undergoing elective thoracoscopic GA, with American Society of Anesthesiologists (ASA) physical status I or II, were randomly divided into 3 groups, 40 cases in each group. Group T: received double-lumen bronchial intubation, Group I: received intercostal nerve block using a supraglottic device, Group P: received paravertebral nerve block using a supraglottic device. Mean arterial pressure, heart rate, saturation of pulse oximetry and surgical field satisfaction, general anesthetic dosage and recovery time were recorded before induction of GA (T0), at the start of the surgical procedure (T1), 15 minutes later (T2), 30 minutes later (T3), and before the end of the surgical procedure (T4). Static and dynamic pain rating (NRS) and Ramsay sedation score were recorded 2 hours after surgery (T5), 12 hours after surgery (T6), 24 hours afte...Continue Reading

References

Feb 15, 2005·Thoracic Surgery Clinics·Javier H Campos
Apr 17, 2009·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Eduardo MiñambresAlejandro González-Castro
Aug 27, 2011·Annals of Surgery·Jin-Shing ChenYung-Chie Lee
Mar 1, 2012·The Journal of Thoracic and Cardiovascular Surgery·Marcello Carlo AmbrogiAlfredo Mussi
Dec 19, 2012·The Annals of Thoracic Surgery·Chun-Yu WuYa-Jung Cheng
Jan 23, 2013·Anesthesia and Analgesia·Glenn S MurphyElizabeth Landry
Aug 2, 2014·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Marcello C AmbrogiAlfredo Mussi
Oct 4, 2016·Journal of Cardiothoracic and Vascular Anesthesia·Joanne F IronsGuillermo Martinez

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