Minimally Invasive Cardiac Surgery
Conditions
Brief summary
Both left single lung ventilation by left double lumen tube and bilateral ventilation with selective blockage of right middle lower lobe by bronchial blocker can provide suitable surgical field for minimally invasive cardiac surgery. The current study was designed to compare the impact of these two different methods on oxygenation, degree of pulmonary collapse and postoperative complications.
Interventions
DEVICEbronchial blocker for BB group
Using bronchial blocker to block right middle lower lobe during surgery.
DEVICEdouble lumen tube for DLT group
Using double lumen tube to achieve single lung ventilation during surgery.
Sponsors
Shanghai Zhongshan Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* ASA II-III * BMI 18-31 * elective minimally invasive cardiac surgery by right thoracotomy
Exclusion criteria
* asthma * COPD * previous lung surgery * previous cardiac surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| oxygenation | intraoperative | record SpO2 and PaO2 during selective ventilation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| degree of pulmonary collapse | intraoperative | surgeon score the degree of pulmonary collapse (1 for no pulmonary collapse and 5 for excellent pulmonary collapse) |
Contacts
Primary ContactKefang Guo
Backup ContactLin Jin
Outcome results
None listed