Purpose of the study: A double-blind, clinical trial, with block randomization design, on the comparison of the effects of propofol and isoflurane on the gradient between arterial and end-tidal carbon dioxide pressure following one-lung ventilation in thoracic surgery.
Study population: ASA I and ASA II patients aged between 18 and 40 years, undergoing elective thoracotomy for lung surgery or cystectomy under OLV.
Inclusion criteria: 1) Aged 18-75 years; 2) sustaining ASA I and ASA II; and 3) consent to thoracic surgery according to OLV under investigation.
Exclusion criteria: 1) Liver failure; 2)ischemia or heart valve disease; 3) history of anesthesia; 4) obstructive pulmonary disease with limitation in end-stage; 5) patients with OLV less than 30 minutes; 6) patients whose breath count reached 12 at the onset of anesthesia and before one-lung ventilation; and 7) patients with HRCT, PFT, and pathological lesions in the left lung.
Sample: 122.
Study Intervention: Propofol and isoflurane anesthesia.
The outcome of the study: Evaluation of end-tidal carbon dioxide pressure, arterial carbon dioxide pressure, and tidal blood pressure through capnography, pulse oximetry, and radial artery catheter, respectively, monitoring depth of anesthesia with BIS 10 and 20 minutes after the intervention, and comparison of the obtained results.