Related Experiment Videos
[Total intravenous anesthesia in thoracotomy with one-lung ventilation]
L Pilotti1, G Torresini, R Crisci
1Ospedale di Teramo, Servizio di Anestesia e Rianimazione, Università degli Studi, L'Aquila.
Minerva Anestesiologica
|September 10, 1999
Summary
Total intravenous anaesthesia (TIVA) offers better oxygenation during single lung ventilation compared to inhalatory anaesthesia. TIVA also ensures faster patient recovery and reduces operating room pollution.
Area of Science:
- Anesthesiology
- Thoracic Surgery
- Respiratory Physiology
Background:
- Evaluating anesthetic techniques for thoracotomies with single lung ventilation.
- Comparing total intravenous anaesthesia (TIVA) with inhalatory anaesthesia.
- Assessing benefits in the context of pulmonary ventilation with oxygen-enriched air.
Purpose of the Study:
- To evaluate the benefits of TIVA versus inhalatory anaesthesia in thoracotomies.
- To compare hemodynamic and respiratory parameters between the two anesthetic methods.
- To determine the impact on oxygenation and patient recovery.
Main Methods:
- Randomized study of 50 patients undergoing thoracotomy.
- Two groups: Group A (TIVA) and Group B (inhalatory anaesthesia).
- Monitored pressure, heart rate, PaO2, PaCO2, SatO2, and EtCO2.
Main Results:
- Both methods maintained guideline-compliant pressure, heart rate, and PaCO2 during bipulmonary ventilation.
- Significantly higher PaO2 values observed in the TIVA group during single lung ventilation.
- No significant differences in pressure and heart rate were noted.
Conclusions:
- TIVA provides superior oxygenation during single lung ventilation in thoracotomies.
- TIVA facilitates quicker postoperative recovery with no psychomotor disturbances.
- TIVA contributes to a pollution-free operating theatre environment.