A novel combination of the Arndt endobronchial blocker and the laryngeal mask airway ProSeal™ provides one‑lung ventilation for thoracic surgery

  • Authors:
    • Qiong Li
    • Peiying Li
    • Jianghui Xu
    • Huahua Gu
    • Qinyun Ma
    • Liewen Pang
    • Weimin Liang
  • View Affiliations

  • Published online on: September 15, 2014     https://doi.org/10.3892/etm.2014.1966
  • Pages: 1628-1632
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Abstract

In this study, the feasibility and performance of the combination of the Arndt endobronchial blocker and the laryngeal mask airway (LMA) ProSeal™ in airway establishment, ventilation, oxygenation and lung isolation was evaluated. Fifty‑five patients undergoing general anesthesia for elective thoracic surgeries were randomly allocated to group Arndt (n=26) or group double‑lumen tube (DLT; n=29). Data concerning post‑operative airway morbidity, ease of insertion, hemodynamics, lung collapse, ventilators, oxygenation and ventilation were collected for analysis. Compared with group DLT, group Arndt showed a significantly attenuated hemodynamic response to intubation (blood pressure, 149±31 vs. 115±16 mmHg; heart rate, 86±15 vs. 68±15 bpm), less severe injuries to the bronchus (injury score, 1.4±0.2 vs. 0.4±0.1) and vocal cords (injury score, 1.3±0.2 vs. 0.6±0.1), and lower incidences of post‑operative sore throat and hoarseness. Furthermore, the novel combination of the Arndt and the LMA ProSeal showed similar ease of airway establishment, comparable ventilation and oxygenation performance, and an analogous lung isolation effect to DLT. The novel combined use of the Arndt endobronchial blocker and the LMA ProSeal can serve as a promising alternative for thoracic procedures requiring one‑lung ventilation. The less traumatic properties and equally ideal lung isolation are likely to promote its use in rapidly spreading minimally invasive thoracic surgeries.
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November-2014
Volume 8 Issue 5

Print ISSN: 1792-0981
Online ISSN:1792-1015

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Spandidos Publications style
Li Q, Li P, Xu J, Gu H, Ma Q, Pang L and Liang W: A novel combination of the Arndt endobronchial blocker and the laryngeal mask airway ProSeal™ provides one‑lung ventilation for thoracic surgery. Exp Ther Med 8: 1628-1632, 2014
APA
Li, Q., Li, P., Xu, J., Gu, H., Ma, Q., Pang, L., & Liang, W. (2014). A novel combination of the Arndt endobronchial blocker and the laryngeal mask airway ProSeal™ provides one‑lung ventilation for thoracic surgery. Experimental and Therapeutic Medicine, 8, 1628-1632. https://doi.org/10.3892/etm.2014.1966
MLA
Li, Q., Li, P., Xu, J., Gu, H., Ma, Q., Pang, L., Liang, W."A novel combination of the Arndt endobronchial blocker and the laryngeal mask airway ProSeal™ provides one‑lung ventilation for thoracic surgery". Experimental and Therapeutic Medicine 8.5 (2014): 1628-1632.
Chicago
Li, Q., Li, P., Xu, J., Gu, H., Ma, Q., Pang, L., Liang, W."A novel combination of the Arndt endobronchial blocker and the laryngeal mask airway ProSeal™ provides one‑lung ventilation for thoracic surgery". Experimental and Therapeutic Medicine 8, no. 5 (2014): 1628-1632. https://doi.org/10.3892/etm.2014.1966