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[Endobronchial ventilation in transthoracic endoscopic sympathectomy]
Anasthesie, Intensivtherapie, Notfallmedizin
|August 1, 1983
Summary
Thoracic endoscopic sympathectomy (TES) for hyperhidrosis requires special anesthesia. Using a double lumen tube for one-lung ventilation offers stable circulation and better surgical conditions compared to traditional methods.
Area of Science:
- Anesthesiology
- Thoracic Surgery
- Pulmonology
Background:
- Thoracic endoscopic sympathectomy (TES) treats hyperhidrosis but requires specialized anesthesia due to patient positioning and breathing.
- Conventional endotracheal intubation may present challenges during TES.
Purpose of the Study:
- To evaluate the efficacy and safety of using an endobronchial double lumen tube for one-lung ventilation during TES.
- To compare this anesthetic technique with conventional endotracheal intubation.
Main Methods:
- Six patients undergoing TES for hyperhidrosis received anesthesia via an endobronchial double lumen tube for one-lung ventilation.
- Intravenous anesthesia and muscle relaxation were employed.
- Circulatory response, end-tidal CO2 (FE CO2), and blood gases were monitored.
Main Results:
- Difficulties were noted in inserting and securing the double lumen tube.
- The technique provided stable circulation and physiological blood gas values.
- It facilitated easy access to a calm surgical field.
Conclusions:
- Endobronchial double lumen tube ventilation is a viable anesthetic technique for TES.
- Despite insertion challenges, it offers significant advantages for hyperhidrosis surgery.
- This method improves surgical conditions and patient physiological stability.