Abstract:
BACKGROUND:Left double-lumen endotracheal tubes have been widely used in thoracic, esophageal, vascular, and mediastinal procedures to provide lung separation. Lacking clear objective guidelines, anesthesiologists usually select appropriately sized double-lumen endotracheal tubes based on their experience with 35 and 37Fr double-lumen endotracheal tubes, which are the most commonly used. We hypothesized the patients with a left main bronchus of shorter length (<40mm) had a greater chance of experiencing desaturation during one lung ventilation, due to obstruction in the orifice of the left upper lobe with the bronchial tube. METHODS:We included 360 patients with a left double-lumen intubated between September 2014 and August 2015. The patient's age, sex, height, weight, and underlying disease were recorded along with type of surgical procedure and the desaturation episodes. In addition, the width of the trachea and the width and length of the left bronchus were measured using computed tomography. RESULT:Patients with a left main bronchus length of less than 40mm who underwent intubation with a left double-lumen endotracheal tubes had significantly higher incidence of desaturation (Odds Ratio (OR: 8.087)) during one-lung ventilation. Other related factors of patients identified to be at risk of developing hypoxia were diabetes mellitus (OR: 5.368), right side collapse surgery (OR: 4.933), and BMI (OR: 1.105). CONCLUSIONS:We identified that patients with a left main bronchus length of less than 40mm have a great chance of desaturation, especially if other desaturation risk factors are present.
journal_name
Rev Bras Anestesioljournal_title
Revista brasileira de anestesiologiaauthors
Yao HY,Liu TJ,Lai HCdoi
10.1016/j.bjan.2019.03.012subject
Has Abstractpub_date
2019-01-01 00:00:00pages
390-395issue
4eissn
0034-7094issn
1806-907Xpii
S0034-7094(18)30497-5journal_volume
69pub_type
杂志文章abstract:BACKGROUND AND OBJECTIVES:Gabapentin has been used as adjuvant in the treatment of postoperative pain with a neuropathic component. It is responsible for the inhibition of central sensitization, decreasing postoperative pain. CONTENTS:All clinical, randomized studies that evaluated the effects of gabapentin on postope...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,评审
doi:10.1590/s0034-70942009000100012
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,评审
doi:10.1016/S0034-7094(12)70182-4
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Since the beginning, soda lime use has presented some complications which resulted in its difficult application. However major advantages such as decreasing fresh gas flow, anesthetic consumption and operating room pollution, and improving breathing system and airway humidity, have pushed rese...
journal_title:Revista brasileira de anestesiologia
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更新日期:2004-06-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942009000200006
更新日期:2009-03-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942006000600010
更新日期:2006-12-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章,随机对照试验
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journal_title:Revista brasileira de anestesiologia
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更新日期:2010-11-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
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abstract:BACKGROUND AND OBJECTIVES:Dexmedetomidine is a highly selective alpha2-adrenoceptor agonist used in anesthesia for its hypnoanalgesic and cardiovascular effects. Stimulation of alpha2-adrenoceptors may determine pro and anti-platelet aggregation effects through direct and indirect mechanisms. This study aimed at determ...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942003000600002
更新日期:2003-12-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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更新日期:2012-05-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2014.01.001
更新日期:2014-09-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2014.08.001
更新日期:2017-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
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更新日期:2004-10-01 00:00:00
abstract::According to the most recent guidelines, the use of intraoperative transesophageal echocardiography in valvular surgeries is well established, as well as its use in the diagnosis, management, and rescue of perioperative complications. The aim of this case report is to illustrate a condition in which its intraoperative...
journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2018.05.001
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abstract:BACKGROUND AND OBJECTIVES:The discontinuation of drugs such as angiotensin-converting enzyme inhibitors (ACE inhibitors) has been suggested based on reports of hypotension during anesthesia. This may imply on a higher risk of intraoperative hypertensive peaks with deleterious consequences for the patient. The objective...
journal_title:Revista brasileira de anestesiologia
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更新日期:2010-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
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更新日期:2017-01-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1016/j.bjan.2013.06.021
更新日期:2016-03-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
doi:10.1590/s0034-70942008000300007
更新日期:2008-05-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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更新日期:2005-12-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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更新日期:2007-06-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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更新日期:2010-05-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
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更新日期:2011-07-01 00:00:00
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journal_title:Revista brasileira de anestesiologia
pub_type: 杂志文章
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更新日期:2016-07-01 00:00:00