One lung ventilation using double-lumen tubes: Initial experience from Lagos, Nigeria

Majekodunmi, AA; Falase, BA; Udom, BO; Sanusi, MO; Ikotun, OA

doi:10.4103/1119-3077.151048

Cited by 2 publications

(3 citation statements)

References 27 publications

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“…General thoracic surgery, vascular surgery, closed heart surgery and OHS have all been established and practiced. Routine use of staplers, double lumen tubes for one lung ventilation, mediastinoscopy, and oesophageal stenting has been developed (11,34). Endoscopy for therapeutic and diagnostic purposes is available (17).…”

Section: Discussionmentioning

confidence: 99%

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The challenges of cardiothoracic surgery practice in Nigeria: a 12 years institutional experience

Falase

Sanusi

Animasahun

et al. 2016

Cardiovasc. Diagn. Ther.

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Infections, malignancy and trauma currently account for the bulk of cardiothoracic surgery practice in Nigeria, with surgical activity showing a predominance of minor procedures and comparatively minimal OHS activities. Identified challenges to increasing cardiothoracic surgical activity were limitations in manpower development, infrastructure, laboratory support, local availability of consumables, cost of surgery, funding mechanisms for surgery, multiple models for development of cardiac surgery, decentralization of efforts and lack of outcome data. Data collection and reporting of results must be started to enable development of more evidence-based practice.

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Section: Discussionmentioning

confidence: 99%

“…Miscellaneous procedures [34]: procedures performed were feeding gastrostomy 16 (47.1%), explorative thoracotomy 5 (14.7%), cervical lymph node biopsy 5 (14.7%), open pleural biopsy 5 (14.7%), feeding jejunostomy 2 (5.9%) and thoracotomy for thoracic duct ligation 1 (2.9%). There were four mortalities (11.8%).…”

Section: Methodsmentioning

confidence: 99%

The challenges of cardiothoracic surgery practice in Nigeria: a 12 years institutional experience

Falase

Sanusi

Animasahun

et al. 2016

Cardiovasc. Diagn. Ther.

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“…However, it should be noted that epidural block inhibited the sympathetic nerve, and further expanded the peripheral blood vessels, especially when combined with isoflurane inhalation, which might greatly enhance the effect of lowering blood pressure. 15 , 16 …”

Section: Discussionmentioning

confidence: 99%

Effects of epidural anesthesia combined with inhalation anesthesia or intravenous anesthesia on intrapulmonary shunt and oxygenation in patients undergoing long term single lung ventilation

Zheng

Yin

et al. 2018

Pak J Med Sci

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Objective:To investigate the effect of epidural anesthesia combined with inhalation or intravenous anesthesia on intrapulmonary shunt and oxygenation in patients undergoing long term single lung ventilation.Methods:Eighty patients, aged 35-75, American Society of Anesthesiology (ASA) classification of I-III, undergoing thoracic surgery with one lung ventilation more than three hour, were randomly divided into propofol group (group Pro), propofol combined with epidural anesthesia group (group Pro+Epi), isoflurane group (group Iso) and isoflurane combined with epidural anesthesia group (group Iso+ Epi), 20 patients in each group. Arterial blood and mixed venous blood were taken for blood gas analysis, and hemodynamic data were recorded at following time points: before induction in supine position (T1), 30min after bilateral lung ventilation (T2), 15min after one lung ventilation (T3), 30min after one lung ventilation (T4), 60min after one lung ventilation (T5), 180min after one lung ventilation (T6), intrapulmonary shunt (Qs/Qt) was calculated according to the correlation formula.Results:Qs/Qt values at T2-6 in four groups were significantly higher than that of T1, and Qs/Qt values at T3-6 was significantly higher than that of T2 (P< 0.05); PaO2 at T2-6 were significantly higher than that of T1, with PaO2 at T3-6 were significantly lower than T2 (P< 0.05). Between groups, Qs/Qt values in group Iso were significantly higher than that of group Pro, Pro+Epi and Iso+Epi at T3-5 (P< 0.05). There was no significant difference in PaO2 between groups (P> 0.05). CI at T3-6 in group Iso and Iso+Epi were significantly higher than that of T1 (P<0.05), and were significantly higher than that of propofol group (P<0.05). MAP at T3-6 in group Pro+Epi and Iso+Epi were significantly lower than that at T1 (P <0.05). Heart rate at T4-6 in group Iso were significantly higher than T1, and higher than group Pro and group Iso+Epi (P <0.05).Conclusion:One lung ventilation may predispose to increase of intrapulmonary shunt and decrease in arterial partial pressure of oxygen; isoflurane inhalation anesthesia is more likely to cause intrapulmonary shunt, but no changes in arterial partial pressure of oxygen.

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One lung ventilation using double-lumen tubes: Initial experience from Lagos, Nigeria

Abstract: One lung ventilation is an integral component of modern anesthetic practice. It can be safely practiced in Nigeria with appropriate equipment and expertise. The use of DLT for OLV to enhance thoracic anesthetic practice should be encouraged in other Nigerian institutions.

Cited by 2 publications

References 27 publications

The challenges of cardiothoracic surgery practice in Nigeria: a 12 years institutional experience

The challenges of cardiothoracic surgery practice in Nigeria: a 12 years institutional experience

Effects of epidural anesthesia combined with inhalation anesthesia or intravenous anesthesia on intrapulmonary shunt and oxygenation in patients undergoing long term single lung ventilation

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