Transbronchoscopic selective bronchial occlusion for intractable pneumothorax

Zeng, Yiming; Hong, Min-Li; Zhang, Huaping; Yang, Dongyong; Chen, Xiaoyang; Zuang, Xibin; Cheng, Yunfeng; Guan, Jianhua; Lin, Qunyeng

doi:10.1111/j.1440-1843.2009.01650.x

Cited by 6 publications

(13 citation statements)

References 5 publications

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“…In our previous research, the detection power of this technique was found to be 85%. 4 However, in subsequent clinical practice, we found that the balloon occlusion test failed to locate the affected bronchus in pneumothorax patients with multiple pleural leakages or collateral ventilation. The aim of the present study was to explore the value of endo-bronchial end-tidal CO 2 (EtCO 2 ) measurement in the detection of the affected bronchus, and furthermore to establish the exact methodology of trans-bronchoscopic EtCO 2 detection.…”

Section: Introductionmentioning

confidence: 85%

“…For balloon detection, a balloon catheter was introduced through the working channel of a flexible bronchoscope, and the affected bronchus was detected as described in our previous publication. 4 Briefly, the balloon was inflated to achieve complete occlusion in the lobar, segmental and sub-segmental bronchus. The affected bronchus was identified by reduction or elimination of the air leak through the chest tube 15–20 s after occlusion.…”

Section: Methodsmentioning

confidence: 99%

“…The bronchial occlusion technique has been proven to be an effective method for treating intractable pneumothorax. 1 – 4 One of the key steps in bronchial occlusion is to detect the bronchus leading to pleural air leakage – that is, the affected bronchus. In previous clinical research, the balloon occlusion test has been the most frequently used method for detecting the affected bronchus.…”

Section: Introductionmentioning

confidence: 99%

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Use of endo-bronchial end-tidal CO₂ test for location of the pleural air leakage in patients with intractable pneumothorax

Zeng

Chen

Lin

et al. 2018

Ther Adv Respir Dis

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Background:Location of the affected bronchus of pleural air leaks is the most important step of trans-bronchoscopic bronchial occlusion for the treatment of intractable pneumothorax. The balloon occlusion test is the most commonly used technique, but has failed in some cases. The aim of the present study was: (1) to determine if endo-bronchial end-tidal CO2 (EtCO2) measurement can identify the affected bronchus that is the source of a persistent pleural air leak; and (2) to establish a methodology for endo-bronchial EtCO2 testing in locating affected bronchus in intractable pneumothorax.Methods:A total of 28 patients with intractable pneumothorax underwent bronchoscopy with (1) the balloon occlusion test for the identification of the affected bronchus; and (2) endo-bronchial EtCO2 measurement (EtCO2 test) at the orifices of the bronchus of the affected lung. The effectiveness of these two methods of affected bronchus identification were compared. The threshold EtCO2 (T-EtCO2) was determined.Results:The positive rates of locating the affected bronchus by the endo-bronchial EtCO2 test, balloon occlusion test, and combination of the two techniques were 60.7% (17/28), 64.3% (18/28) and 96.4% (27/28), respectively. The average differences in EtCO2 between the affected bronchus and the main carina, main bronchus, and non-affected bronchus were (in mmHg) 4.41 ± 1.99 (95% confidence interval: 3.5, 5.3), 4.73 ± 2.10 (3.80, 5.66 ) and 5.57 ± 2.53 (4.45, 6.69), respectively.Conclusions:(1) The endo-bronchial EtCO2 test is complementary to the balloon occlusion test of the leading bronchus. (2) A threshold (T-EtCO2) value of >5 mmHg is optimal for this technique.

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Section: Introductionmentioning

confidence: 85%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Use of endo-bronchial end-tidal CO₂ test for location of the pleural air leakage in patients with intractable pneumothorax

Zeng

Chen

Lin

et al. 2018

Ther Adv Respir Dis

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“…A trial was reported of the use of transbronchial selective occlusion to stop the leak in 40 patients with persistent pneumothorax 61 . The mean age of the group was 58 years and all had had a leak for at least 7 days (mean 19 days).…”

Section: Technical Investigationsmentioning

confidence: 99%

Year in review 2010: Tuberculosis, pleural diseases, respiratory infections

et al. 2011

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“…Zeng et al 67 . studied the role of selective bronchial occlusion using a balloon catheter in the management of persistent pneumothoraces.…”

Section: Bronchoscopic Interventions and Imagingmentioning

confidence: 99%

Year in review 2010: Interstitial lung diseases, acute lung injury, sleep, physiology, imaging, bronchoscopic intervention and lung cancer

Eastwood¹,

Takahashi²,

Lee³

et al. 2011

Respirology

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Key words: endobronchial ultrasonography (EBUS), hypertrophic pulmonary osteoarthropathy, idiopathic pulmonary fibrosis, interstitial pneumonia, thoracoscopy. ACUTE LUNG INJURYAcute lung injury (ALI) and ARDS are significant contributors to morbidity and mortality in patients admitted to the intensive care unit. It is not surprising therefore that the treatment and monitoring of ALI and ARDS were key themes in Respirology over the course of the last year.

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Transbronchoscopic selective bronchial occlusion for intractable pneumothorax

Abstract: These results indicate that TBD and SBO are safe and effective procedures for treating patients with intractable pneumothorax.

Cited by 6 publications

References 5 publications

Use of endo-bronchial end-tidal CO₂ test for location of the pleural air leakage in patients with intractable pneumothorax

Use of endo-bronchial end-tidal CO₂ test for location of the pleural air leakage in patients with intractable pneumothorax

Year in review 2010: Tuberculosis, pleural diseases, respiratory infections

Year in review 2010: Interstitial lung diseases, acute lung injury, sleep, physiology, imaging, bronchoscopic intervention and lung cancer

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Transbronchoscopic selective bronchial occlusion for intractable pneumothorax

Abstract: These results indicate that TBD and SBO are safe and effective procedures for treating patients with intractable pneumothorax.

Cited by 6 publications

References 5 publications

Use of endo-bronchial end-tidal CO2 test for location of the pleural air leakage in patients with intractable pneumothorax

Use of endo-bronchial end-tidal CO2 test for location of the pleural air leakage in patients with intractable pneumothorax

Year in review 2010: Tuberculosis, pleural diseases, respiratory infections

Year in review 2010: Interstitial lung diseases, acute lung injury, sleep, physiology, imaging, bronchoscopic intervention and lung cancer

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Use of endo-bronchial end-tidal CO₂ test for location of the pleural air leakage in patients with intractable pneumothorax

Use of endo-bronchial end-tidal CO₂ test for location of the pleural air leakage in patients with intractable pneumothorax