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Lung isolation technique is useful for lung or heart surgeries for better visualization. Double lumen endobronchial tube and bronchial blocker are available for lung isolation. Adding disconnection technique before lung isolation is helpful to accelerate the lung deflation. However, the utility of disconnection technique has never been evaluated in comparison of double lumen tube and bronchial blocker. Therefore, the utility of disconnection technique in two different lung isolation technique, double lumen tube and bronchial blocker will be evaluated
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DLT(Double Lumen Tube) group | Experimental | disconnection technique will be applied |
|
| BB(Bronchial Blocker) group | Experimental | disconnection technique will be applied |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| disconnection technique | Other | Before lung isolation, the ventilator stays switched-off until the carbon dioxide on the capnogram reached to zero. Then, inflate the balloon either on the double lumen tube or on the bronchial blocker. |
| Measure | Description | Time Frame |
|---|---|---|
| Lung deflation score | verbal analog scale(0=no deflation, 10=complete deflation) | 10 min after inflation of balloon |
| Measure | Description | Time Frame |
|---|---|---|
| time for initial placement | from beginning of intubation until confirmation of adequate placement with bronchoscope, approximately 5 minute | |
| time for lung deflation | from turning the ventilator off until the carbon dioxide reach to zero on capnography, within 2 min |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Go Un Roh, MD | Ajou University School of Medicine | Principal Investigator |
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| ID | Term |
|---|---|
| D011030 | Pneumothorax |
| ID | Term |
|---|---|
| D010995 | Pleural Diseases |
| D012140 | Respiratory Tract Diseases |
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