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Endobronchial tube

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https://www.readbyqxmd.com/read/29132804/a-randomized-controlled-trial-comparing-the-utility-of-lighted-stylet-and-glidescope-for-double-lumen-endobronchial-intubation
#1
Jee-Eun Chang, Hyerim Kim, Seong-Won Min, Jung-Man Lee, Jung-Hee Ryu, Soohyuk Yoon, Jin-Young Hwang
OBJECTIVE: To compare GlideScope and lighted stylet for double-lumen endobronchial tube (DLT) intubation in terms of intubation time, success rate of first attempt at intubation, difficulty in DLT advancement toward the glottis, and postoperative sore throat and hoarseness. DESIGN: A prospective, randomized study. SETTING: Medical center governed by a university hostpial. PARTICIPANTS: Sixty-two adult patients undergoing thoracic surgery using DLT intubation...
October 7, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29109057/broncho-pleural-fistula-after-pneumonectomy-risk-factors-and-management-focusing-on-open-window-thoracostomy
#2
Antonio Mazzella, Alessandro Pardolesi, Patrick Maisonneuve, Francesco Petrella, Domenico Galetta, Roberto Gasparri, Lorenzo Spaggiari
OBJECTIVE: We evaluated principal risk factors and different therapeutic approaches for post-pneumonectomy broncho-pleural fistula (BPF), focusing on open window thoracostomy (OWT). METHODS: We have retrospectively reviewed all patients treated by pneumonectomy for lung cancer from 1999 to 2014; we evaluated preoperative, operative and postoperative data, time between operation and fistula formation, size, treatment and predicting factors of BPF. Cumulative incidence curves for the development of BPF were drawn according to the Kaplan-Meier Method...
November 3, 2017: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29102256/the-video-double-lumen-endobronchial-tube-is-the-benefit-worth-the-cost
#3
EDITORIAL
T Wesley Templeton, Benjamin N Morris, Roger L Royster
No abstract text is available yet for this article.
June 16, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29074128/a-randomized-controlled-study-of-the-use-of-video-double-lumen-endobronchial-tubes-versus-double-lumen-endobronchial-tubes-in-thoracic-surgery
#4
Jagtar Singh Heir, Shu-Lin Guo, Ronaldo Purugganan, Tim A Jackson, Anupamjeet Kaur Sekhon, Kazim Mirza, Javier Lasala, Lei Feng, Juan P Cata
OBJECTIVE: To compare the incidence of fiberoptic bronchoscope (FOB) use (1) during verification of initial placement and (2) for reconfirmation of correct placement following repositioning, when either a double-lumen tube (DLT) or video double-lumen tube (VDLT) was used for lung isolation during thoracic surgery. DESIGN: A randomized controlled study. SETTING: Single-center university teaching hospital. PARTICIPANTS: The study comprised 80 patients who were 18 years or older requiring lung isolation for surgery...
May 9, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29056498/a-comparison-of-3-videolaryngoscopes-for-double-lumen-tube-intubation-in-humans-by-users-with-mixed-experience-a-randomized-controlled-study
#5
Mohamed R El-Tahan, Alaa M Khidr, Ihab S Gaarour, Saeed A Alshadwi, Talal M Alghamdi, Abdulmohsen Al'ghamdi
OBJECTIVES: To test the hypothesis that laryngoscopy using the Airtraq (Prodol Limited, Viscaya, Spain) or King Vision laryngoscope (KVL) (Ambu A/S, Ballerup, Denmark) would result in a shorter time for successful double-lumen endobronchial tube (DLT) intubation by users with mixed experience than the time required using the Macintosh or GlideScope (Verathon Inc., Bothell, WA) laryngoscopes. DESIGN: A randomized, prospective, blind study. SETTING: A single university hospital...
August 4, 2017: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/29045278/angulated-stents-a-novel-stent-improvisation-to-manage-difficult-post-tuberculosis-bronchial-stenosis
#6
Chee Kiang Tay, Byeong-Ho Jeong, Hojoong Kim
Post-tuberculosis bronchostenosis (PTBS), a complication of endobronchial tuberculosis is currently treated by bronchial stenting. However, in cases of angulated bronchial stenoses, difficulty is often encountered in stent insertion and maintenance, resulting in stent migration, granulation tissue overgrowth, and restenosis. To accommodate the angulated alignment of the stenosis, we devised an "angulated stent"-a novel improvisation of the conventional stent via splicing and suturing to achieve a resultant angulated shape...
October 18, 2017: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
https://www.readbyqxmd.com/read/29033734/microlaryngeal-endotracheal-tube-for-lung-isolation-in-pediatric-patient-with-significant-tracheal-narrowing
#7
Renu Sinha, Anjan Trikha, Rajkumar Subramanian
A 15-year-old boy, weighing 45 kg, 160 cm height with large anterior mediastinal mass and significant tracheal narrowing was scheduled for thoracotomy and excision of the mass. He had a history of progressive dyspnea, inability to lie supine, and a right upper hemithorax mass 13 cm × 13 cm × 11 cm as evident on a computerized tomography with significant compression of the trachea and right main stem bronchus. Inhalational induction was carried out using sevoflurane with 100% oxygen. After achieving adequate depth of anesthesia with the maintenance of spontaneous respiration with oxygen and sevoflurane (minimum alveolar concentration 1...
October 2017: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/28957991/venovenous-extracorporeal-membrane-oxygenation-for-the-management-of-contralateral-iatrogenic-bronchus-perforation-during-lower-bilobectomy
#8
Dejan Radakovic, Marc Lazarus, Rainer G Leyh, Ivan Aleksic
Tracheobronchial rupture by a double-lumen endobronchial tube is a rare but life-threatening complication. We report a case of bronchial rupture during contralateral bilobectomy. Venovenous extracorporeal membrane oxygenation support was instituted via the right femoral vein and the internal jugular vein with the patient in the left lateral decubitus position. Sleeve resection of the ruptured bronchus was performed. The patient was successfully discharged home. Rapid institution of venovenous extracorporeal membrane oxygenation is helpful to manage this intraoperative complication...
August 22, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28950380/is-fibre-optic-bronchoscopy-necessary-to-confirm-the-position-of-rigid-angled-endobronchial-blockers-before-thoracic-surgery-a-randomized-controlled-trial
#9
Man-Ling Wang, Yi-Ping Wang, Ming-Hui Hung, Hsao-Hsun Hsu, Jin-Shing Chen, Fu-Sui Yang, Ya-Jung Cheng
OBJECTIVES: To determine the success rate of blind insertion and the usefulness of fibre-optic bronchoscopy for directing rigid-angled endobronchial blockers (EBs) to the correct side and achieving satisfactory surgical fields. METHODS: A randomized trial was designed to determine the extent to which the Coopdech Endobronchial Blocker Tube (Daiken Medical Co., Ltd) could successfully be placed through either auscultation ( n  = 57) or fibre-optic bronchoscopy ( n  = 55) in patients scheduled for thoracic surgery...
July 25, 2017: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/28813708/bronchial-embolization-with-an-endobronchial-watanabe-spigot-for-broncho-gastric-tube-fistula
#10
Terunaga Inage, Takahiro Nakajima, Taiki Fujiwara, Kentaro Murakami, Masaya Uesato, Hisahiro Matsubara, Ichiro Yoshino
Anastomotic failure of a gastric tube inserted for reconstruction following esophagectomy, which is relatively rare, causes pleural infection and persistent pleural irritation, leading to communication with the pulmonary parenchyma. Although several interventions have been reported to treat such broncho-gastric tube fistulas, refractory cases remain. We herein report the successful treatment by endoscopic bronchial occlusion with an endobronchial Watanabe spigot in 2 patients who suffered from the above complication...
2017: Respiration; International Review of Thoracic Diseases
https://www.readbyqxmd.com/read/28804889/a-randomised-trial-comparing-real-time-double-lumen-endobronchial-tube-placement-with-the-disposcope-%C3%A2-with-conventional-blind-placement
#11
P T Chen, C K Ting, M Y Lee, H W Cheng, K H Chan, W K Chang
Double-lumen endobronchial tube placement is challenging. This study compared double-lumen tube placement with the Disposcope(®) , a wireless videostylet allowing real-time visualisation, with conventional blind placement. Patients undergoing elective thoracic surgery with normal airways requiring one-lung ventilation were randomly allocated into two groups (27 patients in each group). The Disposcope was used to assist left-sided double-lumen tube placement in one group, and conventional blind placement was performed in the control group...
September 2017: Anaesthesia
https://www.readbyqxmd.com/read/28767602/iatrogenic-rupture-of-the-left-main-bronchus-secondary-to-repeated-surgical-lobe-torsion-during-double-lumen-tube-placement-a-case-report
#12
Zong Ming Jiang, Chu Zhang, Zhong Hua Chen
RATIONALE: Bronchial rupture is a rare but potentially life-threatening complication during double-lumen endobronchial tube placement. The rupture of the left main bronchus resulting from repeated surgical torsion is uncommon. PATIENT CONCERNS: A 70-year-old man with a history of chronic obstructive pulmonary disease (COPD), intermediate emphysema, chronic bronchitis, hypertension, type 2 diabetes mellitus, and L3-L4 lumbar intervertebral disc herniation. Chest x-ray and computed tomography revealed a solitary pulmonary nodule in the left lower lobe...
August 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28763898/-effect-of-single-lumen-endobronchial-tube-and-double-lumen-endobronchial-tube-on-ventilation-and-lung-injury-in-patients-with-esophageal-cancer-undergoing-combined-thoracoscopic-and-laparoscopic-esophagectomy
#13
Y L Sun, Y Bai, T K Li, S G Lü, L Wang, X H Lu
Objective: To investigate the effect of the single lumen endobronchial tube and the double lumen endobronchial tube on ventilation and lung injury in patients with esophageal cancer undergoing combined thoracoscopic and laparoscopic esophagectomy. Methods: Sixty patients with esophageal cancer undergoing combined thoracoscopic and laparoscopic esophagectomy were divided into single lumen endobronchial tube group (D group, n=30) and double lumen endobronchial tube group (S, n=30) according to the random number table...
July 25, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28757838/anesthetic-management-for-lobectomy-of-a-2-month-old-infant-with-bronchogenic-cyst-case-report-along-with-review-of-literature
#14
T Bansal, S Kiran, K Kamal, N Bangarwa
Bronchogenic cyst, a benign congenital cystic lesion of the lung, is a rare cause of respiratory distress in children comprising 7.5% of all mediastinal masses. A thorough preoperative evaluation is crucial to plan for definitive intra- and post-operative management. All patients should be thoroughly evaluated for the presence of compression, deviation or distortion of airways and great veins. The easiest means of providing one lung ventilation in pediatrics is to intubate the main stem bronchus of the nonoperated lung...
July 2017: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/28752009/absent-lung-deflation-because-of-blockade-using-an-endobronchial-blocker
#15
Rakesh Garg, Anuja Pandit
One-lung ventilation is required for various thoracic procedures. In addition, various strategies such as the use of double-lumen tube, uninvent tubes, and endobronchial blocker have been used for performing one-lung ventilation. Each of these techniques has its advantages and limitations. Certain factors for failure of endobronchial blocker to provide lung deflation has been described in literature. We report a different aetiology of failure of lung deflation, although the endobronchial blocker was appropriately placed...
June 2017: Turkish Journal of Anaesthesiology and Reanimation
https://www.readbyqxmd.com/read/28697892/withdrawn-bronchopleural-fistula-after-pneumonectomy-risk-factors-and-management-focusing-on-open-window-thoracostomy
#16
Antonio Mazzella, Alessandro Pardolesi, Patrick Maisonneuve, Francesco Petrella, Domenico Galetta, Roberto Gasparri, Lorenzo Spaggiari
This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.
June 12, 2017: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/28621182/-non-intubated-uniportal-video-assisted-thoracic-surgery-vats-lobectomy-as-a-new-procedure-in-our-department
#17
József Furák, Zsolt Szabó, Theodor Horváth, Tibor Géczi, Balázs Pécsy, Tibor Németh, Aurél Ottlakán, Zsolt Molnár, György Lázár
AIM: Due to the emerging experience in VATS (video assisted thoracic surgery) lobectomies, in some centers the so called "non-intubated" VATS lobectomies (NITS - non-intubated thoracic surgery) gained increased authority, during which endotracheal intubation and muscle relaxation of the patient is not carried out, thus surgery is being performed with the patient breathing spontaneously. The recent study deals with our initial experience gained during uniportal NITS VATS lobectomies. PATIENTS AND METHOD: Between 24...
June 2017: Magyar Sebészet
https://www.readbyqxmd.com/read/28584348/difficulty-in-inserting-left-double-lumen-endobronchial-tubes-at-the-cricoid-level-in-small-statured-women-a-retrospective-study
#18
Mika Sato, Kenji Kayashima
BACKGROUND AND AIMS: Left double-lumen endobronchial tube (DLT) sizes are selected using tracheal diameters and left mainstem bronchial diameters (LMBDs) determined from chest radiographs or computed tomography (CT) scans. In Western women, 35-Fr or 37-Fr DLTs are often selected. However, difficulties can be encountered when inserting 32-Fr or 35-Fr DLTs in Japanese women. We investigated success rates for 32-Fr or 35-Fr DLT insertion in Japanese women and determined the causes of unsuccessful DLT insertion...
May 2017: Indian Journal of Anaesthesia
https://www.readbyqxmd.com/read/28583508/the-adaptive-use-of-a-hand-crafted-endotracheal-endobronchial-tube-for-airway-management-in-laryngo-tracheo-esophageal-cleft-type-iv
#19
Jackson Vuncannon, Mohammad Albanna, Adele K Evans
No abstract text is available yet for this article.
July 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28553914/-displacement-of-endobronchial-tube-in-a-neonate-in-spite-of-using-recommended-methods
#20
Natalia Barkholt, Jesper Fenger-Grøn
Placement of nasogastric tubes are common procedures in neonatal departments, but there is a risk of severe complications although it is considered an innocuous procedure. This case report describes accidental endobronchial tube displacement in a mature neonate despite using clinically recommended methods of verification. It illustrates how symptoms of tube displacement can be disregarded, especially in critically ill neonates. Radiologic examination is the recommended method to ensure tube position but it cannot be used as daily practice...
May 22, 2017: Ugeskrift for Laeger
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