End-tidal CO2 and peak inspiratory pressure monitoring in the bronchial lumen intubation Positioning.docVIP

 PAGE \* MERGEFORMAT 12 End-tidal CO2 and peak inspiratory pressure monitoring in the bronchial lumen intubation Positioning Of: Qin Qin, Yang Rui, Long Weihong, blue from the Kan [Abstract] Objective To monitor end-tidal CO2 (PETCO2) and peak inspiratory pressure (Ppeak) to determine the double-lumen bronchial tube (DLT) position. Methods ASA - grade elective thoracic surgical patients to be inserted 76 DLT cases, respectively auscultation, monitoring PETCO2, Ppeak and fiberoptic bronchoscopy (FOB) to determine the location of DLT. The results of lung auscultation in supine position isolation satisfied, PETCO2 monitoring lung isolation failure 30.3%, FOB 42.1% review misplaced. side bit position of auscultation found 13 cases of DLT changes, adjust the location PETCO2 monitoring catheter in 15 cases (19.7%) isolated pulmonary insufficiency, FOB review the shift in 24 patients (31.6%). lung ventilation (TLV) and the FOB when auscultation review PETCO2 values did not change significantly after the comparison (Pgt; 0.05), single-lung ventilation (OLV) was significantly lower after the review when the FOB (P lt;0.05). OLV TLV when the time Ppeak significantly higher than (P lt;0.05), FOB, after review Ppeak significantly lower than auscultation (P lt;0.05). Conclusion PETCO2, Ppeak monitoring of clinical auscultation higher rate than in place, and can detect changes of DLT position. [Keywords:] double-lumen bronchial tube, end-tidal CO2 (PETCO2), peak inspiratory pressure (Ppeak), single-lung ventilation, positioning Double-lumen bronchial tube (DLT) in thoracic surgery is increasingly being used. Catheters in the correct position to provide a clear surgical field, to ensure effective ventilation and contralateral lung secretions from the lungs suffering from pollution, so the positioning of DLT has been anesthesiologists much attention at home and abroad. fiberoptic bronchoscopy (FOB) application to greatly improve the success rate of the bit, but n