A combination of supraglottic airway and bronchial blocker for one-lung ventilation in infants undergoing thoracoscopic surgery

• DOI: 10.1016/j.heliyon.2023.e13576
• Publication Date: 2023-02-09T06:37:04Z
• Authors: Junlin Lv; Xiaoying Ding; Jing Zhao; Huijuan Zhang; Jiaojiao He; Lei Ma; Jianrui Lv
• Keywords: Interquartile range; Cardiothoracic surgery

ObjectivesOne-lung ventilation (OLV) for children under the age of two years is difficult. The authors hypothesize that a combination supraglottic airway (SGA) device and intraluminal placement bronchial blocker (BB) may provide an appropriate choice.DesignA prospective method-comparison study.SettingSecond Affiliated Hospital Xi'an Jiaotong University, China.Participants120 patients undergoing thoracoscopic surgery with OLV.InterventionsParticipants were randomly assigned to receive BB SGA (n = 60) or extraluminal endotracheal tube (ETT) OLV.Measurements main resultsThe primary outcome was length postoperative hospitalization stay. secondary outcomes basic parameters OLV investigator-defined severe adverse events. stay 6 days (interquartile range, IQR 4–9) in plus group compared 9 (IQR 6–13) ETT (P 0.034). positioning duration 64 s 51–75) 132 117–152) 0.001). values leukocyte (WBC) C-reactive protein (CRP) on first day post-operation 9.8 × 109/L 7.4–14.5) 15.1 mg/L 12.5–17.3) 13.6 10.8–17.1) 19.6 15.0–23.5) 0.022 P 0.014).ConclusionThere few if any significant events intervention (SGA BB) years, this method seems worthy clinical application. Meanwhile, mechanism novel technique shorten needs be further explored.