Comparison of one-lung ventilation and high-frequency ventilation in thoracoscopic surgery.
OBJECTIVE
To report our experience of the use of high frequency ventilation (HFV) in thoracoscopic surgery.


METHODS
Retrospective study.


METHODS
University Hospital Rotterdam, The Netherlands.


METHODS
31 patients (18 men and 13 women, mean age 42 years, range 26-67 years) who underwent 46 thoracoscopic procedures between January 1992 and December 1997.


METHODS
Until October 1994 patients had conventional mechanical ventilation with a double-lumen tube. Since then HFV has been used.


METHODS
Duration of induction, oxygen saturation, and end-tidal carbon dioxide tension.


RESULTS
25 procedures were done with a double-lumen endotracheal tube for one-lung ventilation and in 21 HFV was used. Induction of anaesthesia took significantly less time in the HFV group (median 14 minutes) compared with one-lung ventilation group (median 31 minutes) (p < 0.05). There were no significant differences between the groups in either SaO2 or end-tidal CO2.


CONCLUSIONS
HFV is both safe and simple for use in thoracoscopic surgery.
den Hoed
P T
PT
Department of Surgery, University Hospital Rotterdam/Dijkzigt, The Netherlands.
Leendertse-Verloop
K
K
Bruining
H A
HA
Bonjer
H J
HJ
D000328:Adult; D000368:Aged; D005260:Female; D006612:High-Frequency Ventilation; D006801:Humans; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial; D012189:Retrospective Studies; D013906:Thoracoscopy