Korean J Anesthesiol.  1994 Apr;27(4):381-387. 10.4097/kjae.1994.27.4.381.

The Comparative Study of the Single-lumen Tube and Double-lumen Tube in the Blood Gas Analysis for One-lung Ventilation

• Kim SW
• Kim BY
• Kong MH
• Lim HJ
• Chae BK
• Chang SH

• KMID: 2236964
• DOI: http://doi.org/10.4097/kjae.1994.27.4.381

Abstract

One-lung anesthesia can be very helpful to the surgeon during operations on the lung, mediastinum, esophagus, and thoracic aorta The standard method for one-lung anesthesia uses a double-lumen tube (Carlens, Robertshaw, etc). However, these tubes are diffieult to place and may not remain in a correct position. In addition, the lumen of each channel is inevitably too smaU for proper ventilation and suctioning. We have designed a new device for one-lung anesthesia which overcomes these disadvantages. This new device, named SLT (single-lumen tube), was made by amoured wire tube, the proximal end of which was connected to the Rusch rubber tube. So, this tube is larger in diameter, available in various sizes and very economic. We intubated 25 cardiothoracic patients with SLT under the fiberoptic guidance (Group A), and the other 25 cardiothoracic patients were intubated with Bobertshaw double-lumen tube by the direct laryngoscopy (Group B). There were no significant differences in heart rate, blood pressure, PH, PaCO2, PaO2 BE, HCO3, SaO2 and ETCO2 between the two groups compared with induction, one-lung ventilation, and two-lung ventilation values.

Keyword

One-lung anesthesia; Two-lung anestbesia; Single-lumen tube; Double-lumen tube

MeSH Terms

Anesthesia
Aorta, Thoracic
Blood Gas Analysis*
Blood Pressure
Esophagus
Heart Rate
Humans
Hydrogen-Ion Concentration
Laryngoscopy
Lung
Mediastinum
One-Lung Ventilation*
Rubber
Suction
Ventilation
Rubber