COMPARISON OF TWO METHODS OF DOUBLE LUMEN TUBE PLACEMENT IN NATIONAL CANCER CENTER OF MONGOLIA

The goals of this retrospective study were to compare two methods of double-lumen tube (DLT) placement used for elective thoracic or esophageal surgery and to identify factors which provide a rational basis for placement technique.

METHODS:

We performed during 2012-2014 period in National Cancer Center of Mongolia placement of DLT in 160 ASA II-III patients scheduled for thoracic or esophageal surgery procedures either according to the conventional blind method or under direct vision using a fiber optic bronchoscope.

Combined anesthesia using inhalation anesthesia with isoflurane associated with thoracic epidural analgesia was used in most patients requiring one- lung ventilation after right or left –sided endobronchial intubation.

Data collected from files of patients and anesthetic records are expressed SPPS 20 as mean +/- SD. Paired-simple t-tests, One way ANOVA. Was used to detect significant differences (p<0, 05).

RESULTS:

We are reporting 2012-2014 anesthesia and surgical departments at National Cancer Center.  In our study involved all 160 open thoracic surgery cases with DLT. Were excluded 4 case to very short and tail height (140 less than , 190 more than ) and weight (35 kg less than, 150kg more  than), 2  case often because to very  low hemoglobollin ( we are doesn’t have arterial laboratory result ) level,  2 cases thorax was not open ( explorative esophageal cases) and we feature due 160 records of patients;

106 male (mean age 55 + 13 years) and 54 female (mean age 57+ 10 years) were analyzed. 64.4% of all patients were smoked. Type of surgery is detailed in Table 1 DLT was placed left 60% (n=96), right 40% (n=64) and 5.6% (n=9) cases fiber optic bronchoscopes by was used after blind placement DLT, total lung collapse was achieved.