Bronchial blocker for one-lung ventilation: An unanticipated complication

Niwal, Namrata; Ranganathan, Priya; Divatia, Jigeeshu Vasishtha

doi:10.4103/0019-5049.90638

Cited by 3 publications

(1 citation statement)

References 5 publications

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“… 1 , 2 Contrary to nonintubated VATS, studies have reported severe trauma associated with trachea intubation, 3 endobronchial catheters, 4 and endobronchial blockers. 5 Postoperative pulmonary complications were reported to be associated with residual muscle relaxation, particularly among elderly patients receiving prolonged surgical procedures. 6 Bronchospasm associated with intraoperative adjustment of lung separation devices through fiberoptic bronchoscopy is also not uncommon.…”

Section: Introductionmentioning

confidence: 99%

Nonintubated video-assisted thoracic surgery with high-flow oxygen therapy shorten hospital stay

Hsu

Tsou

et al. 2020

Journal of the Chinese Medical Association

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Background: Nonintubated video-assisted thoracic surgery (VATS) is widely used due to its acceptable postoperative outcomes. Transnasal humidified rapid-insufflation ventilatory exchange (THRIVE) has been successfully applied in cases of prolonged difficult intubation and intensive respiratory care in patients receiving VATS lobectomy. Thopaz Digital Chest Drainage System (THOPAZ) provides regulated negative pressure close to the patient’s chest, optimizing drainage of the pleural and mediastinum. We explored the surgical outcomes of nonintubated VATS lung wedge resection and traditional wedge resection with a double-lumen endotracheal tube. Methods: Patients who received nonintubated VATS lung wedge resection (group A, n = 81) and traditional wedge resection with double-lumen endotracheal tube (group B, n = 79) during the period of November 2015 to April 2018 were enrolled in the study. Demographic data and operation outcomes were obtained and analyzed from review of patient medical charts. Results: Group B had significantly longer mean induction and operative times than group A. Similarly, group B suffered greater intraoperative blood loss, longer postoperative hospital stays, and increased chest tube retention times than group A. Group A had higher partial pressure of carbon dioxide levels in both the pre-one-lung and during one-lung ventilation periods than group B. Furthermore, group A showed lower serum pH levels during one-lung ventilation period. However; group A had significantly higher partial pressure of oxygen levels during one-lung ventilation than group B, although the differences in peripheral oxygen saturation were not statistically significant. Conclusion: Our study demonstrated that nonintubated VATS using THRIVE and THOPAZ in lung wedge resection provides measurable benefits to patients.

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