Atrial Fibrillation Complicating Left Pneumothorax After Malpositioning of a Double-Lumen Tube

Siddik-Sayyid, Sahar M.; Esso, Jean J.; Aouad, Marie T.

doi:10.1053/j.jvca.2012.03.002

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…During OLV, a left-sided DLT with deep position that the total tidal volume is directed to only one lobe, may result in barotrauma due to high airway pressure and excessive tidal volume, though vital capacity is several times larger than tidal volume (21). As reported by Siddik et al (26), a patient with atrial septal defect repair developed high airway resistance and inaudible breath sounds in both lung fields after left-sided DLT intubation and ventilation, then occurred rapid-rate atrial fibrillation with hypotension. After they pulled the DLT back 2 cm the bilateral breath sounds and oxygen saturation returned to normal, then they used a FOB to confirm the DLT position.…”

Section: The Complications Of Dlt Malpositionmentioning

confidence: 92%

Recent Advances in Double-Lumen Tube Malposition in Thoracic Surgery: A Bibliometric Analysis and Narrative Literature Review

Zhang¹,

Wang²,

Wei³

et al. 2022

Preprint

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The thoracic surgery has increased drastically in recent years, especially in the light of the severe outbreak of 2019 novel coronavirus disease (COVID-19). Routine “passive” chest computed tomography (CT) screening of inpatients detects some pulmonary diseases requiring thoracic surgeries timely. As an essential device for thoracic anesthesia, the double-lumen tube (DLT) is particularly important for anesthesia and surgery. With the continuous upgrading of the DLTs and the widespread use of the fiberoptic bronchoscopy (FOB), the position of DLT in thoracic surgery is gradually becoming more stable and easier to observe or adjust. However, the DLT malposition still occurs during transferring patients from supine to lateral position in thoracic surgery, which leads to lung isolation failure and hypoxemia during one-lung ventilation (OLV). Recently some innovative DLTs or improved intervention methods have shown good results in reducing the incidence of DLT malposition. This review aims to summarize the recent studies of the incidence of left-sided DLT malposition, the reasons and effects of malposition, and summarize current methods for reducing DLT malposition and prospects for possible approaches. Meanwhile, we use bibliometric analysis to summarize the research trends and hot spots of the DLT research.

show abstract

Section: The Complications Of Dlt Malpositionmentioning

confidence: 92%

Recent Advances in Double-Lumen Tube Malposition in Thoracic Surgery: A Bibliometric Analysis and Narrative Literature Review

Zhang¹,

Wang²,

Wei³

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…During OLV, a left-sided DLT with deeply position that the total tidal volume is directed to only one lobe, may result in barotrauma due to high airway pressure and excessive tidal volume, though vital capacity is several times larger than tidal volume [21]. As reported by Siddik et al [26], a patient with atrial septal defect repair developed high airway resistance and inaudible breath sounds in both lung fields after left-sided DLT intubation and ventilation, then occurred rapid-rate atrial fibrillation with hypotension. After they pulled the DLT back 2 cm the bilateral breath sounds and oxygen saturation returned to normal, then used a FOB to confirm the position.…”

Section: The Complications Of Dlt Malpositionmentioning

confidence: 92%

Recent Advances in Double-Lumen Tube Malposition in Thoracic Surgery: A Bibliometric Analysis and Narrative Literature Review

Zhang¹,

Wang²,

Wei³

et al. 2022

Preprint

View full text Add to dashboard Cite

The thoracic surgery has increased drastically in recent years, especially in the light of the severe outbreak of 2019 novel coronavirus disease (COVID-19). Routine “passive” computed tomography of the chest screening of inpatients detects some pulmonary disease requiring thoracic surgeries timely. As an essential equipment for thoracic anesthesia, the double-lumen tube (DLT) in precise position is particularly important for anesthesia and surgery. With the continuous up-grading of the DLTs and the widespread use of the fiberoptic bronchoscopy (FOB), the position of DLT in thoracic surgery is gradually becoming more stable and easier to observe or adjust. However, for reasons such as transferring the patient to the lateral position, the DLT malposition still occurs in thoracic surgery, leading to lung isolation failure and hypoxemia during one-lung ventilation (OLV). Recently some innovative DLTs based on traditional have shown good results in reducing the incidence of DLT malposition, and some studies also found a lower malposition rate through improved intervention methods. This review aims to discuss and summarize the recent rates of left-sided DLT malposition, the reasons and effects of malposition, and to sum up current methods of reducing DLT malposition as well as prospects for possible approaches. Meanwhile, we use bibliometric analysis to summarize the research trends and hot spots of the DLT research.

show abstract

“…During OLV, DLT with the deep position where the total tidal volume is directed to only one lobe may result in barotrauma due to high airway pressure and excessive tidal volume ( 21 ). Siddik-Sayyid et al ( 26 ) reported that a patient with atrial septal defect repair developed high airway resistance and inaudible breath sounds in both lung fields after left-sided DLT intubation and ventilation, which then occurred rapid-rate atrial fibrillation with hypotension. After they pulled the DLT back 2 cm, the bilateral breath sounds and oxygen saturation returned to normal, then they used a FOB to confirm the DLT position.…”

Section: The Complications Of Dlt Malpositionmentioning

confidence: 99%

Recent advances in double-lumen tube malposition in thoracic surgery: A bibliometric analysis and narrative literature review

et al. 2022

View full text Add to dashboard Cite

Thoracic surgery has increased drastically in recent years, especially in light of the severe outbreak of the 2019 novel coronavirus disease (COVID-19). Routine “passive” chest computed tomography (CT) screening of inpatients detects some pulmonary diseases requiring thoracic surgeries timely. As an essential device for thoracic anesthesia, the double-lumen tube (DLT) is particularly important for anesthesia and surgery. With the continuous upgrading of the DLTs and the widespread use of fiberoptic bronchoscopy (FOB), the position of DLT in thoracic surgery is gradually becoming more stable and easier to observe or adjust. However, DLT malposition still occurs during transferring patients from a supine to the lateral position in thoracic surgery, which leads to lung isolation failure and hypoxemia during one-lung ventilation (OLV). Recently, some innovative DLTs or improved intervention methods have shown good results in reducing the incidence of DLT malposition. This review aims to summarize the recent studies of the incidence of left-sided DLT malposition, the reasons and effects of malposition, and summarize current methods for reducing DLT malposition and prospects for possible approaches. Meanwhile, we use bibliometric analysis to summarize the research trends and hot spots of the DLT research.

show abstract

Atrial Fibrillation Complicating Left Pneumothorax After Malpositioning of a Double-Lumen Tube

Cited by 3 publications

References 5 publications

Recent Advances in Double-Lumen Tube Malposition in Thoracic Surgery: A Bibliometric Analysis and Narrative Literature Review

Recent Advances in Double-Lumen Tube Malposition in Thoracic Surgery: A Bibliometric Analysis and Narrative Literature Review

Recent Advances in Double-Lumen Tube Malposition in Thoracic Surgery: A Bibliometric Analysis and Narrative Literature Review

Recent advances in double-lumen tube malposition in thoracic surgery: A bibliometric analysis and narrative literature review

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