An assesment of the double-lumen endobronchial tubes for thoracic surgeries in Japan.
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概要
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We have conducted the questionaire of how double-lumen endobronchial tubes (DLT) were used in the adult thoracic surgeries in 1987. The purpose is to establish the safer application of DLT through the apprehension of current usage of DLT and complications elicited by DLT. The questionaires were sent to 434 authorized hospitals with qualified anesthesiologists. Two hundreds and fifty four (58.1%) institutions of them responded to the inquiry. DLT were found to be used in 3, 392 cases out of 11, 280 thoracic surgeries. But the way of confirmation regarding the location of tubes and the treatment of collapsed lung varied with the institutions. In addition, there were many complications induced by DLT, hypoxia 149 cases, difficult intubation 129 cases, atelectasis 78 cases, and injury 12 cases.Therefore, at present, we should not use DLT without consideration in each case. However, bronchofiberscope would be simultaneously required in case of the usage of DLT.
- 日本臨床麻酔学会の論文
日本臨床麻酔学会 | 論文
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