Anesthesia for thoracic surgery: A survey of middle eastern practice

Eldawlatly, A., Turkistani, A., Shelley, B., El-Tahan, M., MacFie, A. and Kinsella, J. (2012) Anesthesia for thoracic surgery: A survey of middle eastern practice. Saudi Journal of Anaesthesia, 6(3), pp. 192-196. (doi:10.4103/1658-354X.101196) (PMID:23162388) (PMCID:PMC3498653)

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Abstract

Purpose: The main objective of this survey is to describe the current practice of thoracic anesthesia in the Middle Eastern (ME) region. Methods: A prospective online survey. An invitation to participate was e-mailed to all members of the ME thoracic-anaesthesia group. A total of 58 members participated in the survey from 19 institutions in the Middle East. Questions concerned ventilation strategies during one-lung ventilation (OLV), anesthesia regimen, mode of postoperative analgesia, use of lung isolation techniques, and use of i.v. fluids. Results: Volume-controlled ventilation was favored over pressure-controlled ventilation (62% vs 38% of respondents, P<0.05); 43% report the routine use of positive end-expiratory pressure. One hundred percent of respondents report using double-lumen tube (DLT) as a first choice airway to establish OLV. Nearly a third of respondents, 31.1%, report never using bronchial blocker (BB) in their thoracic anesthesia practice. Failure to pass a DLT and difficult airway are the most commonly cited indications for BB use. Regarding postoperative analgesia, the majority 61.8% favor thoracic epidural analgesia over other techniques (P<0.05). Conclusions: Our survey provides a contemporary snapshot of the ME thoracic anesthetic practice.

Item Type:Articles (Other)
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Shelley, Dr Ben and MacFie, Dr Alistair and Kinsella, Professor John
Authors: Eldawlatly, A., Turkistani, A., Shelley, B., El-Tahan, M., MacFie, A., and Kinsella, J.
Subjects:R Medicine > R Medicine (General)
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Saudi Journal of Anaesthesia
Publisher:Medknow Publications
ISSN:1658-354X
ISSN (Online):0975-3125

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