Application of single-lumen tube in rapid recovery of minimally invasive cardiac surgery

Background To explore the effect of single-lumen tube with high-frequency low-tide ventilation mode to optimize nursing measures on patients’rapid recovery.Methods From October 2021 to December 2022,the clinical data of 115 patients who underwent thoracoscopic mitral or/and tricuspid valve surgery in the Department of Cardiology,Guangdong Provincial People’s Hospital were selected.Patients underwent minimally invasive cardiac surgery with single-lumen tube(SLT)or double-lumen tube(DLT),and both groups adopted nursing measures of relieving anxiety and fear before operation,cooperating with doctors accurately and tacitly during operation,and paying attention to airway management after operation.The surgical variables and postoperative complications were recorded and analyzed.Results Among the 115 patients,57 cases were intubated with single-lumen and 58 cases were intubated with double-lumen.In the single-lumen tube group,the 24-hour thoracic fluid volume,postoperative hospitalization time,sputum aspiration times and intensive care unit(ICU)hospitalization time were significantly reduced(P<0.05).But there was no difference in postoperative complications and mechanical ventilation time between the two groups.Conclusion In minimally invasive cardiac surgery,optimizing perioperative nursing measures and inserting single-lumen tracheal intubation can accelerate the postoperative rehabilitation of patients compared with double-lumen tracheal intubation.