Anestesia venosa versus inalatória para ventilação monopulmonar: revisão sistemática e metanálise de ensaios clínicos randomizados

The technique called one-lung ventilation can confine bleeding or infection to one lung, prevent rupture of a lung cyst or, more commonly, facilitate surgical exposure of the unventilated lung. During one-lung ventilation, anaesthesia is maintained either by delivering a volatile anaesthetic to the...

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Detalhes bibliográficos
Autor: Bassi, Adriana Marcondes [UNIFESP]
Formato: tesis doctoral
Estado:Versión publicada
Fecha de publicación:2009
País:Brasil
Recursos:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/8949
Acesso em linha:http://repositorio.unifesp.br/handle/11600/8949
Access Level:acceso abierto
Palavra-chave:Anestesia inalatória
Ensaio clínico
Revisão sistemática
Ventilação monopulmonar
Anestesia venosa
Descrição
Resumo:The technique called one-lung ventilation can confine bleeding or infection to one lung, prevent rupture of a lung cyst or, more commonly, facilitate surgical exposure of the unventilated lung. During one-lung ventilation, anaesthesia is maintained either by delivering a volatile anaesthetic to the ventilated lung or by infusing an intravenous anaesthetic. It is possible that the method chosen to maintain anaesthesia may affect patient outcomes. Objectives: The objective of this review was to evaluate the effectiveness and safety of intravenous versus inhalation anaesthesia for one-lung ventilation. Search strategy: We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2006, Issue 3), MEDLINE, LILACS, EMBASE (from inception to June 2006), ISI web of Science (1945 to June 2006), reference lists of identified trials, and bibliographies of published reviews. We also contacted researchers in the field. There were no language restrictions. Selection criteria: We included randomized controlled trials and quasi-randomized controlled trials of intravenous versus inhalation anaesthesia for one-lung ventilation. Data collection and analysis: Two authors independently assessed trial quality and extracted data. We contacted study authors for additional information.