Özet:

Purpose: Single lungs ventilation is a method often applied in anesthesia during lobectomy in breast surgery with double lumen tube. The isolation of the lungs reduces mortality with morbidity, while improves the vision area and quality of the surgeon. While questioning the sufficiency of the preoperative preparations of the phenomena of lung resection we received to study in determining the prognosis in the postoperative period, we planned to investigate the effects of the perioperative and early postoperative period of single lung ventilation. Tools and Methods: In total, 37 cases of toracotomy were analyzed with the data related to anesthesia and lung ventilation methods retrospective, preoperative, intraoperative and postoperative data records were analyzed. In addition to the data in the anesthetic management of the cases in which we apply single lungs ventilation, intraoperative hemodynamic and blood gas changes and blood gas changes in the postoperative period have been recorded.Discussions: In 6 of 37 cases in which we apply single lungs ventilation, bronchial and univent blocks, and in others, double lumen tube have been used. When compared pH, p CO2, pO2, SO2, Lac, HCO3 and BE in the preoperative, postoperative and post-extubation blood gases, the value of the preoperative and postoperative pH is more acidic than the preoperative pH, p=0,0001 . In ten cases, hypoxemia developed, with 56.8 percent of them diagnosed with a history of smoking and extended surgery. The most common complication in the postoperative period in lung recessions due to various reasons is atelectase.The result: the taking of more detailed records of anesthesia in the events to be performed by the Toraks surgery will lead to the formation of a sufficient database of these events and the retrospective studies to be performed.

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