Anesthesia for thoracic surgery: a survey of middle eastern practice

ABSTRACT

The main objective of this survey is to describe the current practice of thoracic anesthesia in the Middle Eastern [ME] region. 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. 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]. Our survey provides a contemporary snapshot of the ME thoracic anesthetic practice