ArticleAmerican journal of translational research2024
Application value of using a SaCo videolaryngeal mask airway combined with a bronchial blocker in patients undergoing minimally invasive thoracoscopic surgery.
Article in American journal of translational research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Precision application of target-controlled infusion of esketamine combined with sufentanil in anesthesia for thoracoscopic surgery and its effect on hemodynamics, postoperative pain, and safety.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026Trial
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Abstract
objectiveTo investigate the efficacy of the SaCo videolaryngeal mask airway (VLMA) in combination with a bronchial blocker in patients undergoing minimally invasive thoracoscopic surgery.
methodsA retrospective analysis was conducted on the clinical data of 120 patients who underwent minimally invasive thoracoscopic surgery from January 2022 to December 2023. Patients were grouped based on their treatment methods: 68 patients who received the SaCo VLMA combined with a bronchial blocker intraoperatively were designated as the L group, while 52 patients who received a tracheal tube combined with a bronchial blocker intraoperatively were designated as the E group. Heart rate (HR) and mean arterial pressure (MAP) were compared between the two groups at several time points: prior to anesthesia induction (P1), immediately after anesthesia induction (P2), 1 minute after the insertion of the tracheal tube or placement of the laryngeal mask airway (P3), and 1 minute after the removal of the tracheal tube or laryngeal mask airway (P4). Additionally, the following parameters were recorded and compared: peak airway pressure (Ppeak), airway plateau pressure (Pplat), and pulse oxygen saturation (SpO
resultsCompared to the E group, the L group exhibited significantly higher HR and MAP at time points P2, P3, and P4 (P < 0.05). The L group also demonstrated lower Ppeak and Pplat levels from T1 to T4 compared to the E group (P < 0.05). There was no significant difference in SpO
conclusionThe use of the SaCo videolaryngeal mask airway combined with a bronchial blocker in minimally invasive thoracoscopic surgery, compared to tracheal tube placement, can effectively reduce the requirement for vasoactive drugs, improve ventilation outcomes, stabilize hemodynamics, accelerate postoperative awakening, reduce the incidence of postoperative complications, and enhance the quality of postoperative awakening. These findings highlight the potential of this approach as a valuable reference for clinical practice.
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