We present a modified method for the insertion of double-lumen endobronchial tubes with Trachlight in patients with difficult airways. We also discuss whether our method is applicable to smaller double-lumen endobronchial tubes.
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| http://dx.doi.org/10.1213/01.ane.0000287258.57181.04 | DOI Listing |
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Updates in lung isolation techniques.
Best Pract Res Clin Anaesthesiol
March 2024
Cardiothoracic Anesthesia, Anesthesiology Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; Cardiothoracic Anaesthesia Unit, Department of Anaesthesia, Surgical Intensive Care and Pain Medicine, College of Medicine, Mansoura University, Mansour, Egypt. Electronic address:
Innovations and challenges for lung separation or isolation have evolved during the last few years. In this chapter, we present the up-to-date, robust evidence available during the previous five years supporting the positions of the different devices, techniques, and tricks for their use in adult and pediatric patients undergoing various thoracic surgical interventions. Additionally, we presented an update on lung isolation in patients with airway difficulty and the suggested training level to master these techniques.
View Article and Find Full Text PDFAnesthetic Management of Bronchobiliary Fistula as a Complication of Liver Hydatid Cyst: A Case Report.
Med J Islam Repub Iran
June 2024
Department of Anesthesiology, Rasoul Akram Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Article Synopsis
- Bronchobiliary fistula (BBF) is a rare condition in adults that connects the bronchial system and biliary tract, often resulting from trauma, infections, or surgical complications.
- The case presented involves a 58-year-old man who developed BBF after liver hydatid cyst surgery, leading to acute breathing issues and requiring multiple diagnostic procedures before surgery.
- Surgical treatment posed significant challenges for anesthetic management due to factors like potential sepsis and lung isolation difficulties, necessitating a team approach for postoperative care, including respiratory support and antibiotic treatment.
[Effects of unilateral thoracic paravertebal block on hemodynamic and the level of conscionsness during double lumen endotracheal intubation].
Beijing Da Xue Xue Bao Yi Xue Ban
October 2024
Department of Anesthesiology, Peking University International Hospital, Beijing 102206, China.
Objective: To compare the effects of unilateral thoracic paravertebal block with lidocaine on hemodynamic and the level of consciousness during double lumen endotracheal intubation.
Methods: From June to october 2021, a total of 40 patients American Society of Anesthesiologists (ASA) physical status Ⅰ-Ⅱ, aged 19-65 years, scheduled for elective thoracic sugeries in Peking University International Hospital block with under general anesthesia requiring orotracheal intubation were recruited and divided into two groups: The double-lumen endobronchial intubation (group C) and double-lumen endobronchial intubation after thoracic paravertebal block with lidocaine (group P). After an intravenous anesthetic induction, the orotracheal double-lumen intubation was performed using a Macintosh direct laryngoscopy, respectively.
Tracheal Stenosis Associated With Operation for Pneumothorax With Marfan Syndrome: A Case Report.
Cureus
August 2024
Department of General Thoracic Surgery, Saitama Medical University International Medical Center, Saitama, JPN.
Article Synopsis
- Marfan syndrome is a genetic condition that weakens connective tissue, leading to various health complications.
- A 16-year-old boy with Marfan syndrome was treated for recurrent pneumothoraxes but faced unexpected tracheal stenosis during surgery, causing significant breathing issues.
- The case highlights the importance of identifying potential airway abnormalities in Marfan syndrome patients, as general anesthesia can exacerbate these conditions; careful collaboration between surgeons and anesthesiologists is crucial for patient safety.
Comparison of postoperative pulmonary complications and intraoperative safety in thoracoscopic surgery under non-intubated versus intubated anesthesia: a randomized, controlled, double-blind non-inferiority trial.
Updates Surg
December 2024
Department of Anesthesiology, Liaoning Cancer Hospital & Institute, Shenyang, 110042, Liaoning, China.
Purpose: Traditional anesthesia for video-assisted thoracoscopy (VATS) such as double-lumen tracheal intubation (DLT) and one-lung ventilation (OLV), may lead to post-operative pulmonary complications (PPCs). Non-intubation VATS (NIVATS) is an anesthetic technique that avoided DLT and OLV, maybe avoiding the PPCs. So we hypothesized that NIVATS would non-inferiority to intubation VATS (IVATS) in the risk of developing PPCs and some safety indicators.
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