CO2 during single incisional thoracoscopic bleb resection with two-lung ventilation
DC Field | Value | Language |
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dc.contributor.author | Lee, Dong Kyu | - |
dc.contributor.author | Kim, Heezoo | - |
dc.contributor.author | Kim, Hyun Koo | - |
dc.contributor.author | Chung, Doug Ik | - |
dc.contributor.author | Han, Kook Nam | - |
dc.contributor.author | Choi, Young Ho | - |
dc.date.accessioned | 2021-09-02T08:36:31Z | - |
dc.date.available | 2021-09-02T08:36:31Z | - |
dc.date.created | 2021-06-16 | - |
dc.date.issued | 2018-08 | - |
dc.identifier.issn | 2072-1439 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/74229 | - |
dc.description.abstract | Background: CO2 insufflation could provide a better surgical field during single-incision thoracoscopic surgery (SITS) with small tidal two-lung ventilation (ST-TLV). Here we compared the surgical field and physiological effects of ST-TLV with and without CO2 during SITS. Methods: Patients underwent scheduled SITS bullectomy. Surgery under ST-TLV general anesthesia performed without CO2 (group NC) or with CO2 insufflation (group C). The surgical field was graded at thoracoscope introduction and at bulla resection as follows: good (more than half of the 1st rib visible; bleb easily grasped with the stapler), fair (less than half of the 1st rib visible; some manipulation needed to grasp the bleb with the stapler), or poor (1st rib non-visible; bleb ungraspable). Vital signs, arterial blood gas analysis (ABGA), and mechanical ventilation parameters, postoperative chest tube indwelling duration, length of hospital stays, and complications were recorded. Results: A total of 80 patients were ultimately included. The surgical field at thoracoscope introduction was better in group C (P=0.022). However, at bleb resection, the surgical fields did not differ (P=0.172). The operation time was significantly longer in group C (P=0.019) and anesthesia recovery time was not different (P=0.369). During the CO2 insufflation, the airway pressure was higher in group C (P=0.009). Mean PaCO2 was significantly higher (P=0.012) and mean PaO2 was significantly lower (P=0.024) in group C, but both values were within the physiologically normal range. Postoperative chest tube indwelling duration and length of hospital stays were not statistically different (P=0.234 and 0.085 respectively). Postoperative complication frequencies were similar (12.5% for group NC, 10.0% for group C, P=0.723). Conclusions: SITS with CO2 insufflation during ST-TLV did not produce a superior surgical field except at the beginning of surgery. CO2 insufflation required more time and resulted in higher mean PaCO2 and peak airway pressure. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | AME PUBL CO | - |
dc.subject | PRIMARY SPONTANEOUS PNEUMOTHORAX | - |
dc.subject | LOW-TIDAL VOLUME | - |
dc.subject | LUNG VENTILATION | - |
dc.subject | SURGERY | - |
dc.subject | INSUFFLATION | - |
dc.title | CO2 during single incisional thoracoscopic bleb resection with two-lung ventilation | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Lee, Dong Kyu | - |
dc.contributor.affiliatedAuthor | Kim, Heezoo | - |
dc.contributor.affiliatedAuthor | Kim, Hyun Koo | - |
dc.contributor.affiliatedAuthor | Han, Kook Nam | - |
dc.contributor.affiliatedAuthor | Choi, Young Ho | - |
dc.identifier.doi | 10.21037/jtd.2018.07.79 | - |
dc.identifier.scopusid | 2-s2.0-85055772028 | - |
dc.identifier.wosid | 000442992100065 | - |
dc.identifier.bibliographicCitation | JOURNAL OF THORACIC DISEASE, v.10, no.8 | - |
dc.relation.isPartOf | JOURNAL OF THORACIC DISEASE | - |
dc.citation.title | JOURNAL OF THORACIC DISEASE | - |
dc.citation.volume | 10 | - |
dc.citation.number | 8 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Respiratory System | - |
dc.relation.journalWebOfScienceCategory | Respiratory System | - |
dc.subject.keywordPlus | PRIMARY SPONTANEOUS PNEUMOTHORAX | - |
dc.subject.keywordPlus | LOW-TIDAL VOLUME | - |
dc.subject.keywordPlus | LUNG VENTILATION | - |
dc.subject.keywordPlus | SURGERY | - |
dc.subject.keywordPlus | INSUFFLATION | - |
dc.subject.keywordAuthor | Pneumothorax | - |
dc.subject.keywordAuthor | video-assisted thoracoscopic surgery (VATS) | - |
dc.subject.keywordAuthor | minimally invasive surgical procedures | - |
dc.subject.keywordAuthor | feasibility studies | - |
dc.subject.keywordAuthor | carbon dioxide | - |
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