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Dergiler / Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi / 2020 / Cilt: 26 - Sayı: 1

Comparison of Fiberoptic Bronchoscope and ID Disposcope Endoscope in Cohen Endobronchial Blocker Placement

Cohen Endobronşiyal Bloker Yerleştirmesinde Fiberoptik Bronkoskop ve Disposcope Endoskopun Karşılaştırması

Umut KARA
Mehmet Emin İNCE
Gökhan ÖZKAN
Serkan SENKAL
Sayfa
10–16
DOI
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Conclusion: Disposcope® endoscope-guided Cohen flexitip bronchial blocker placement is a suitable option for one- lung ventilation in thoracic surgery with its easy placement within a shorter time.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: In this study, we aimed to compare fiberoptic bronchoscope (FOB) and Disposcope® endoscope (DE),which is one of the optical imaging methods used in Cohen flexitip bronchial blocker placement.
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Temel Bulgular & Veri:Methods: In this study, a total of 40 patients in whom a bronchial blocker was inserted for one-lung ventilation were randomly assigned into two groups as FOB (n=20) and DE (n=20).
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Sonuç & Katkı:Conclusion: Disposcope® endoscope-guided Cohen flexitip bronchial blocker placement is a suitable option for one- lung ventilation in thoracic surgery with its easy placement within a shorter time.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Objective: In this study, we aimed to compare fiberoptic bronchoscope (FOB) and Disposcope® endoscope (DE),which is one of the optical imaging methods used in Cohen flexitip bronchial blocker placement. Methods: In this study, a total of 40 patients in whom a bronchial blocker was inserted for one-lung ventilation were randomly assigned into two groups as FOB (n=20) and DE (n=20). Data including demographic and clinical characteristics of the patients, Cormack-Lehane grade, duration and ease of bronchial blocker placement were recorded. Results: The mean bronchial blocker insertion time in the DE group (196±32 sec) was shorter than the mean BB insertion time in the FOB group (244±21 sec) with a statistically significant intergroup difference (p<0.05). In both FOB and DE groups, it was found that placement of DE, and BB into the right main bronchus was easier when compared with the left main bronchus (p<0.05). Conclusion: Disposcope® endoscope-guided Cohen flexitip bronchial blocker placement is a suitable option for one- lung ventilation in thoracic surgery with its easy placement within a shorter time.

Abstract

Amaç: Bu çalışmada, Cohen fleksitip bronşiyal bloker yerleştirilmesinde kullanılan optik görüntüleme yöntemlerinden, fiberoptik bronkoskop (FOB) ve Disposcope® endoskopu (DE) karşılaştırmayı amaçladık. Yöntem: Bu çalışmada, tek akciğer ventilasyonu için bronşiyal bloker yerleştirilen 40 hasta randomize olarak FOB grubu (n=20) ve DE grubu (n=20) olmak üzere 2 gruba ayrıldı. Hastaların demografik ve klinik özellikleri, Cormack-Lehane sınıflaması, bronşiyal blokerin yerleştirme süresi ve kolaylığı kaydedildi. Bulgular: DE grubunun ortalama bronşiyal bloker yerleştirilme süresinin (196±32 sn); FOB grubunun bronşiyal bloker yerleştirilme süresine göre (244±21 sn) daha kısa olduğu belirlendi ve istatistiksel olarak anlamlı bulundu (p<0.05). Hem FOB hem de DE gruplarında; sağ ana bronşa yerleşimin, sol ana bronştan daha kolay olduğu bulundu (p<0.05). Sonuç: Torasik cerrahi pratiğinde Disposcope® endoskop kılavuzluğunda Cohen flexitip bronşiyal bloker yerleştirilmesi, kısa ve kolay yerleşimi ile, tek akciğer ventilasyonu için uygun bir seçenektir.

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Bu Makaleye Atıf Yap

KARA, U., İNCE, M. E., ÖZKAN, G., SENKAL, S. (2020). Comparison of Fiberoptic Bronchoscope and ID Disposcope Endoscope in Cohen Endobronchial Blocker Placement. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, Cilt: 26 - Sayı: 1, 10–16. https://ajindex.com/articles/157160

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Kaynakça (10)

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