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Effect of different thoracic anesthesia on postoperative cough
Zhenzhu Chen1, Qinglong Dong1, Lixia Liang1
1Department of Anesthesia, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510120, China.
Journal of Thoracic Disease
|August 3, 2018
Summary
Spontaneous respiration anesthesia significantly reduces postoperative cough compared to double lumen tube anesthesia after thoracic surgery. This approach improves recovery and quality of life for patients undergoing pulmonary procedures.
Area of Science:
- Thoracic surgery
- Anesthesiology
- Pulmonary medicine
Background:
- Postoperative cough is a common complication following thoracic surgery.
- The impact of anesthesia methods on cough incidence requires further investigation.
Purpose of the Study:
- To analyze cough status after double lumen tube (DLT) and spontaneous respiration thoracic anesthesia.
- To compare the influence of anesthesia and surgical factors on postoperative cough.
- To determine if spontaneous respiration anesthesia reduces cough incidence.
Main Methods:
- Retrospective analysis of 1,162 patients undergoing VAST bullectomy, wedge resection, segmentectomy, or lobectomy.
- Comparison of cough probability, Leicester Cough Questionnaire (LCQ), and Visual Analog Scale (VAS) scores between DLT anesthesia (group T) and spontaneous respiration anesthesia (group S).
- Group S was further divided into intravenous composite intercostal nerve block (group SB) and intravenous combined epidural anesthesia (group SE).
Main Results:
- Cough probability decreased over time post-surgery (P<0.05).
- Group T exhibited significantly higher cough probability and severity (lower LCQ, higher VAS) than group S (P<0.05).
- Spontaneous respiration anesthesia (group S) was associated with shorter antibiotic duration, chest tube drainage, and hospital stay compared to group T (P<0.05).
Conclusions:
- Postoperative cough is correlated with pulmonary surgery invasiveness.
- Spontaneous respiration anesthesia significantly reduces postoperative cough incidence.
- This anesthesia method improves postoperative recovery and quality of life.
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