Patients with left bundle branch block anesthesia for thoracic surgery treatment.doc

 PAGE \* MERGEFORMAT 13 Patients with left bundle branch block anesthesia for thoracic surgery treatment [Abstract] Objective To investigate the left bundle branch block (LBBB) patients Anesthetic management of thoracic surgery. Methods Retrospective analysis of 64 patients with LBBB underwent thoracic surgery anesthetic treatment. Based on the degree and the presence of LBBB with a right bundle branch block (RBBB) patients were divided into 3 groups: complete LBBB group (CLBBB group) 11 cases, left anterior branch block group (ALBBB group) 39 cases, ALBBB + RBBB group of 14 patients. All patients were invasive under the arterial pressure monitoring line to the induction of anesthesia, intubation, double lumen endotracheal tube, and the establishment of central venous pressure monitoring, propofol, fentanyl and other maintenance of anesthesia. surgery and anesthesia in each group the relevant circumstances, surgery and anesthesia, and the final result complications, perioperative cardiovascular events, and thoracic surgery with the same period the overall situation of our hospital were compared. Results 64 patients had no hospital deaths among the 3 groups of complications of surgery and anesthesia, intraoperative circulation in no significant difference. surgical complications and mortality is not higher than the same period for all thoracic surgical procedures. Conclusion complete invasive monitoring, select the appropriate anesthesia, the maintenance of perioperative circulation on the basis of stable, CLBBB and ALBBB combination is safe for patients with RBBB Thoracic Surgery surgery. [Keywords:] Thoracic Surgery; anesthesia; left bundle branch block Abstract: Objective To explore the anesthetic management in thoracic surgery for patients with left bundle-branch block (LBBB). Methods 64 patients with LBBB undergoing thoracic surgery were analyzed retrospectively with respect to the management of anesthesia. Based on their degrees of LBBB as well as