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. 2012 Jul;6(3):192-6.
doi: 10.4103/1658-354X.101196.

Anesthesia for thoracic surgery: a survey of middle eastern practice

Abdelazeem Eldawlatly  1 , Ahmed Turkistani, Ben Shelley, Mohamed El-Tahan, Alistair Macfie, John Kinsella; Thoracic-anaesthesia Group Collaborators
Collaborators, Affiliations

Anesthesia for thoracic surgery: a survey of middle eastern practice

Abdelazeem Eldawlatly et al. Saudi J Anaesth. 2012 Jul.

Erratum in

  • Saudi J Anaesth. 2012 Oct-Dec;6(4):372. Al-Haddabi, Maida [added]

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.

Keywords: Middle east; survey; thoracic anesthesia.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
The range of FIO2 routinely used by respondents during the period of one-lung ventilation
See this image and copyright information in PMC

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