A comparative study of two- versus one-lung ventilation for needlescopic bleb resection

Heezoo Kim, Hyun Koo Kim, D. Y. Kang, Dong Kyu Lee, Young Ho Choi, S. H. Lim

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

This prospective study was conducted to evaluate the feasibility of two-lung (TL) ventilation with low tidal volume anaesthesia compared with one-lung (OL) ventilation for needlescopic bleb resection. Patients with spontaneous pneumothorax that underwent bleb resection with a 2-mm thoracoscope were enrolled. During the operation, the tidal volume was set at 4.0 mL·kg-1 in the TL group and 8.0 mL·kg-1 in the OL group; the respiration rate was set at 23 and 12 breaths·min -1, respectively, at the same inspiratory oxygen fraction (50%). A total of 108 patients (55 patients in the TL group and 53 in the OL group) were included in this study. Airway pressure was significantly lower in the TL group (mean±SD 8.0±3.3 versus 24.0±3.9 mmHg in the OL group; p<0.001). The time from endotracheal intubation to the incision was 17.1±4.0 min in the TL group and 35.3±7.6 min in the OL group, which was significantly different (p<0.001). However, the operation time was not different in comparisons between the two groups. Therefore, the total anaesthesia time was significantly longer in the OL group (77.9±21.6 versus 64.9±14.7 min in the TL group; p=0.002). Needlescopic bleb resection using TL ventilation anaesthesia with low tidal volume was technically feasible, cost-effective and time-saving compared with OL ventilation anaesthesia. Copyright

Original languageEnglish
Pages (from-to)1183-1188
Number of pages6
JournalEuropean Respiratory Journal
Volume37
Issue number5
DOIs
Publication statusPublished - 2011 May 1

Fingerprint

One-Lung Ventilation
Blister
Lung
Tidal Volume
Anesthesia
Ventilation
Thoracoscopes
Intratracheal Intubation
Pneumothorax
Respiratory Rate

Keywords

  • Anaesthesia
  • Pneumothorax
  • Ventilation
  • Video-assisted thoracoscopic surgery

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

A comparative study of two- versus one-lung ventilation for needlescopic bleb resection. / Kim, Heezoo; Kim, Hyun Koo; Kang, D. Y.; Lee, Dong Kyu; Choi, Young Ho; Lim, S. H.

In: European Respiratory Journal, Vol. 37, No. 5, 01.05.2011, p. 1183-1188.

Research output: Contribution to journalArticle

@article{592743fd299f4bcaaf8b099b76f073f2,
title = "A comparative study of two- versus one-lung ventilation for needlescopic bleb resection",
abstract = "This prospective study was conducted to evaluate the feasibility of two-lung (TL) ventilation with low tidal volume anaesthesia compared with one-lung (OL) ventilation for needlescopic bleb resection. Patients with spontaneous pneumothorax that underwent bleb resection with a 2-mm thoracoscope were enrolled. During the operation, the tidal volume was set at 4.0 mL·kg-1 in the TL group and 8.0 mL·kg-1 in the OL group; the respiration rate was set at 23 and 12 breaths·min -1, respectively, at the same inspiratory oxygen fraction (50{\%}). A total of 108 patients (55 patients in the TL group and 53 in the OL group) were included in this study. Airway pressure was significantly lower in the TL group (mean±SD 8.0±3.3 versus 24.0±3.9 mmHg in the OL group; p<0.001). The time from endotracheal intubation to the incision was 17.1±4.0 min in the TL group and 35.3±7.6 min in the OL group, which was significantly different (p<0.001). However, the operation time was not different in comparisons between the two groups. Therefore, the total anaesthesia time was significantly longer in the OL group (77.9±21.6 versus 64.9±14.7 min in the TL group; p=0.002). Needlescopic bleb resection using TL ventilation anaesthesia with low tidal volume was technically feasible, cost-effective and time-saving compared with OL ventilation anaesthesia. Copyright",
keywords = "Anaesthesia, Pneumothorax, Ventilation, Video-assisted thoracoscopic surgery",
author = "Heezoo Kim and Kim, {Hyun Koo} and Kang, {D. Y.} and Lee, {Dong Kyu} and Choi, {Young Ho} and Lim, {S. H.}",
year = "2011",
month = "5",
day = "1",
doi = "10.1183/09031936.00056810",
language = "English",
volume = "37",
pages = "1183--1188",
journal = "European Respiratory Journal",
issn = "0903-1936",
publisher = "European Respiratory Society",
number = "5",

}

TY - JOUR

T1 - A comparative study of two- versus one-lung ventilation for needlescopic bleb resection

AU - Kim, Heezoo

AU - Kim, Hyun Koo

AU - Kang, D. Y.

AU - Lee, Dong Kyu

AU - Choi, Young Ho

AU - Lim, S. H.

PY - 2011/5/1

Y1 - 2011/5/1

N2 - This prospective study was conducted to evaluate the feasibility of two-lung (TL) ventilation with low tidal volume anaesthesia compared with one-lung (OL) ventilation for needlescopic bleb resection. Patients with spontaneous pneumothorax that underwent bleb resection with a 2-mm thoracoscope were enrolled. During the operation, the tidal volume was set at 4.0 mL·kg-1 in the TL group and 8.0 mL·kg-1 in the OL group; the respiration rate was set at 23 and 12 breaths·min -1, respectively, at the same inspiratory oxygen fraction (50%). A total of 108 patients (55 patients in the TL group and 53 in the OL group) were included in this study. Airway pressure was significantly lower in the TL group (mean±SD 8.0±3.3 versus 24.0±3.9 mmHg in the OL group; p<0.001). The time from endotracheal intubation to the incision was 17.1±4.0 min in the TL group and 35.3±7.6 min in the OL group, which was significantly different (p<0.001). However, the operation time was not different in comparisons between the two groups. Therefore, the total anaesthesia time was significantly longer in the OL group (77.9±21.6 versus 64.9±14.7 min in the TL group; p=0.002). Needlescopic bleb resection using TL ventilation anaesthesia with low tidal volume was technically feasible, cost-effective and time-saving compared with OL ventilation anaesthesia. Copyright

AB - This prospective study was conducted to evaluate the feasibility of two-lung (TL) ventilation with low tidal volume anaesthesia compared with one-lung (OL) ventilation for needlescopic bleb resection. Patients with spontaneous pneumothorax that underwent bleb resection with a 2-mm thoracoscope were enrolled. During the operation, the tidal volume was set at 4.0 mL·kg-1 in the TL group and 8.0 mL·kg-1 in the OL group; the respiration rate was set at 23 and 12 breaths·min -1, respectively, at the same inspiratory oxygen fraction (50%). A total of 108 patients (55 patients in the TL group and 53 in the OL group) were included in this study. Airway pressure was significantly lower in the TL group (mean±SD 8.0±3.3 versus 24.0±3.9 mmHg in the OL group; p<0.001). The time from endotracheal intubation to the incision was 17.1±4.0 min in the TL group and 35.3±7.6 min in the OL group, which was significantly different (p<0.001). However, the operation time was not different in comparisons between the two groups. Therefore, the total anaesthesia time was significantly longer in the OL group (77.9±21.6 versus 64.9±14.7 min in the TL group; p=0.002). Needlescopic bleb resection using TL ventilation anaesthesia with low tidal volume was technically feasible, cost-effective and time-saving compared with OL ventilation anaesthesia. Copyright

KW - Anaesthesia

KW - Pneumothorax

KW - Ventilation

KW - Video-assisted thoracoscopic surgery

UR - http://www.scopus.com/inward/record.url?scp=79955667285&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79955667285&partnerID=8YFLogxK

U2 - 10.1183/09031936.00056810

DO - 10.1183/09031936.00056810

M3 - Article

C2 - 20693245

AN - SCOPUS:79955667285

VL - 37

SP - 1183

EP - 1188

JO - European Respiratory Journal

JF - European Respiratory Journal

SN - 0903-1936

IS - 5

ER -