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Abstract
Introduction: Double lumen endotracheal tubes (DLT) are commonly used to provide single lung ventilation during thoracic surgery. A fiber optic bronchoscope (FOB) is typically used to confirm accurate DLT placement. Accounting for initial purchase, maintenance, repair and cleaning, the use of an FOB can cost as much as $312 per procedure. The PUSEN is a flexible fiber optic with small scope size can easily go through 32F DLT or bigger. Moreover, it costs 5 to 10 dollars per case, which will lower the cost of use. In this study, we compared the effectiveness of PUSEN was
used for double lumen intubation.
Methods: This is a randomized controlled comparative study performed at HUE central hospital. A total of 60 patients were enrolled and randomly assigned to either a c-DLT (n = 30) or PUSEN (n = 30). Our main objective was to evaluate the possibility of using the PUSEN tube in the intubation of a double - lumen intubation and to investigate possible complications.
Results: There was no difference in the ease of intubation, the time to correct tube placement was significantly faster using PUSEN (61 vs. 150 s). Additionally, the incidence of tube malposition was significantly reduced in the P group. Better lung isolation and happier surgeons were found in group P compared to group M.
Conclussion: We found this to be an improved method with similar efficacy to the bronchoscope in placing and examining the double - lumen endotracheal tube after placement. At the same time, with low cost and ease of use, it can be applied in many hospitals that do not have the conditions to equip a flexible endoscope in
the operating room
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| Published | 29-12-2024 | |
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| Issue | No. 87 (2023) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.87.13 | |
| Keywords | Thông khí một phổi, phẫu thuật lồng ngực, PUSEN, ống NKQ 2 nòng Single lung ventilation; thoracic surgery; PUSEN; double lumen tube |
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Copyright (c) 2023 Journal of Clinical Medicine Hue Central Hospital