@article{JTD353,
author = {Qinglong Dong and Lixia Liang and Yingfen Li and Jun Liu and Weiqiang Yin and Hanzhang Chen and Xin Xu and Wenlong Shao and Jianxing He},
title = {Anesthesia with nontracheal intubation in thoracic surgery},
journal = {Journal of Thoracic Disease},
volume = {4},
number = {2},
year = {2012},
keywords = {},
abstract = {Objective: To study one-lung respiration during VATS wedge resection of bullae and pulmonary nodules with nontracheal intubation, and to explore the changes of vital signs when patients return to two-lung ventilation.Methods: Twenty-two patients with normal cardiopulmonary function and absence of contraindications to epidural anesthesia were included in this study. VATS wedge resection of bullae or pulmonary nodules was performed. 0.5% Ropivacain was administrated for epidural anesthesia (T8-9), and 2 mL of 2% lidocaine was used for local anesthetic block of the intrathoracic vagus nerves. The BIS value was maintained between 50 and 70 by target-controlled infusion of propofol and remifentanil. Electrocardiogram (ECG), heart rate (HR), blood pressure (Bp), pulse oxygen saturation (SpO2), respiratory rate (RR), bispectral index (BIS) and urine volume were monitored.Results: None patients were converted to endotracheal intubation during anesthesia. MAP and SpO2 after wound disclosure were stable (P>0.05), level of CVP significantly elevated, HR and RR increased (P},
issn = {2077-6624}, url = {https://jtd.amegroups.org/article/view/353}
}