Abstract：Objective To explore the clinical application value of small tidal volume and double lung ventilation in patients undergoing thoracoscopic lobectomy.Methods A total of 40 patients who underwent lobectomy from September 2016 to September 2017 in our hospital were selected as the research subjects,and they were divided into the observation group and the control group according to the random blind selection method,with 20 cases in each group.The patients in the observation group were given single lumen endotracheal intubation,and double lung ventilation was performed during the operation.The patients in the control group were given double lumen endotracheal intubation,and single lung ventilation was performed during the operation.The completion time of anesthesia intubation,operation time,recovery time,and the pulse oxygen saturation(SpO2)and arterial partial pressure of carbon dioxide(PaCO2)at 10 min after the lateral position(T1),1 h after the start of the operation(T2)and 10 min after the end of the operation(T3)were compared between the two groups.Results The completion time of anesthesia intubation in the observation group was shorter than that in the control group,and the difference was statistically significant(P＜0.05).There was no significant difference in operation time and recovery time between the two groups(P＞0.05).There were no significant differences in SpO2and PaCO2at each time point between the two groups (P＞0.05).Conclusion The operation of airway management mode with small tidal volume and double lung ventilation in patients with thoracoscopic lobectomy is simple and easy to grasp.It can avoid ventilator associated lung injury caused by single lung ventilation,which is worthy of promotion and application.
Blank RS，Colquhoun DA，Durieux ME，et al.Management of one-lung ventilation：impact of tidal volume on complications after thoracic surgery[J].Anesthesiology，2016，124（6）：1286.
[2]
Kumar A，Pappu A，Sharma S，et al.Indigenous continuous positive airway pressure device for mitigation of hypoxemia during one lung ventilation[J].Anesth Analg，2016，123（6）：1636.
Timmermans K，Kox M，Scheffer GJ，et al.Danger in the intensive care unit：damps in critically ill patients[J].Shock，2016，45（2）：108-116.
[5]
Cagle LA，Franzi LM，Linderholm AL，et al.Effects of positive end-expiratory pressure and recruitment maneuvers in a ventilator-induced injury mouse model[J].PLoS One，2017，12（11）：e0187419.
Gallegopoveda J，Guerra NC，Carvalheiro C，et al.Use of CO2in video assisted thoracic surgery and single-lumen endotracheal tube-a new less invasive approach[J].J Thorac Dis，2017，9（4）：903-906.
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