摘要：Providing anaesthesia for patients with thoracotomy in spine surgery by anterior approach poses challenges. A comparative study was conducted in 50 patients undergoing thoracic spine surgeries with anterior approach. In group I, patients were intubated with double lumen tube for one lung ventilaton (OLV). In group II, patients were intubated with standard endotracheal tube. Changes in haemodynamics, oxygen saturation, blood gases, intraoperative complications were compared in both groups. Haemodynamics were maintained within normal limits in both the groups. Desaturation during OLV was never clinically significant. The duration of surgery reduced significantly in group I (171.40 ± 60.30 min) compared to group II (247.00 ± 81.87). Blood loss during OLV (528.33 ± 638.14 ml) was less than that TLV (734.00 ± 623.620 ml). By surgeons opinion surgical field was excellent in 16 patients of OLV and 5 patients of TLV (P < 0.05). We conclude that One lung ventilation during thoracic spine surgeries by anterior approach can be considered as an effective anaesthetic management.
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