Two-lung ventilation in video-assisted thoracoscopic esophagectomy in prone position: a systematic review

Daghmouri, Mohamed Aziz; Chaouch, Mohamed; Dépret, François; Cattan, Pierre; Plaud, Benoît; Deniau, Benjamin

doi:10.1016/j.accpm.2022.101134

Cited by 6 publications

(3 citation statements)

References 31 publications

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“…It can exacerbate lung injury if the mechanical ventilation parameters are not correctly set, leading to an increased incidence of PPCs (9)(10)(11). PCV is the most commonly used ventilation strategy in prone position surgery and is beneficial in reducing lung injury, but the incidence of PPCs remains high (12,13).…”

Section: Discussionmentioning

confidence: 99%

Effect of target-controlled pressure-controlled ventilation on percutaneous nephrolithotripsy patients under general anesthesia: a retrospective study

Tao¹,

Ma²,

Sun³

et al. 2023

Transl Androl Urol

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Background: Prone position surgery tends to limit chest wall mobility with decreased compliance and increased airway pressure, which can increase the incidence of postoperative pulmonary complications, including atelectasis, pneumonia, and respiratory failure. There is a lack of guidelines recommending mechanical ventilation parameters in prone position surgery. The present study aimed to investigate the effect of pressure-controlled ventilation (PCV) with end-inspiratory flow rate as the target on percutaneous nephrolithotripsy patients under general anesthesia in the prone position.

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Section: Discussionmentioning

confidence: 99%

Effect of target-controlled pressure-controlled ventilation on percutaneous nephrolithotripsy patients under general anesthesia: a retrospective study

Tao¹,

Ma²,

Sun³

et al. 2023

Transl Androl Urol

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show abstract

“…Reduced carbon dioxide insufflation pressure and equilibration of the pressures between the thoracic and abdominal cavities are sufficient to reverse the perturbations in vital signs. For centers where prone positioning is used, the ability to maintain two-lung ventilation with artificial pneumothorax has been shown to be advantageous for better intra- and postoperative oxygenation, 65 and this obviates the need to exchange a double lumen for a single lumen endotracheal tube for those patients needing postoperative mechanical ventilation.…”

Section: Anesthetic Controversiesmentioning

confidence: 99%

Evolving Perspectives on Esophagectomy Care: Clinical Update

Jackson,

Molena,

Amar

2023

Anesthesiology

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“…According to the types of endotracheal tube and operation request, ETT in esophagectomy is divided into the double lumen tube (DLT) and the single lumen tube (SLT). Some studies found that the incidence of PP between these two types of ETT was similar [ 11 , 13 , 15 ]. However, another study from R. Souche et al demonstrated that using a SLT to achieve two lung ventilation (TLV) mode could reduce the incidence of PP compare to using a DLT [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Association of DLT versus SLT with postoperative pneumonia during esophagectomy in China: a retrospective comparison study

Guo,

Ke,

Yang

et al. 2023

BMC Anesthesiol

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Background Double lumen tube (DLT) and single lumen tube (SLT) are two common endotracheal tube (ETT) types in esophageal cancer surgery. Evidence of the relationship between two ETT types and postoperative pneumonia (PP) remains unclear. We aimed to determine the association between two types of ETT (DLT and SLT) and PP and assess the perioperative risk-related parameters that affect PP. Methods This study included 680 patients who underwent esophageal cancer surgery from January 01, 2010 through December 31, 2020. The primary outcome was PP, and the secondary outcome was perioperative risk-related parameters that affect PP. The independent variable was the type of ETT: DLT or SLT. The dependent variable was PP. To determine the relationship between variables and PP, univariate and multivariate analyses were performed. The covariables included baseline demographic characteristics, comorbidity disease, neoadjuvant chemotherapy, tumor location, laboratory parameters, intraoperative related variables. Results In all patients, the incidence of postoperative pneumonia in esophagectomy was 32.77% (36.90% in DLT group and 26.38% in SLT group). After adjusting for potential risk factors, we found that using an SLT in esophagectomy was associated with lower risk of postoperative pneumonia compared to using a DLT (Odd ratio = 0.41, 95% confidence interval (CI): 0.22, 0.77, p = 0.0057). Besides DLT, smoking history, combined intravenous and inhalation anesthesia (CIIA) and vasoactive drug use were all significant and independent risk factors for postoperative pneumonia in esophagectomy. These results remained stable and reliable after subgroup analysis. Conclusions During esophagectomy, there is significant association between the type of ETT (DLT or SLT) and PP. Patients who were intubated with a single lumen tube may have a lower rate of postoperative pneumonia than those who were intubated with a double lumen tube. This finding requires verification in follow-up studies.

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Two-lung ventilation in video-assisted thoracoscopic esophagectomy in prone position: a systematic review

Cited by 6 publications

References 31 publications

Effect of target-controlled pressure-controlled ventilation on percutaneous nephrolithotripsy patients under general anesthesia: a retrospective study

Effect of target-controlled pressure-controlled ventilation on percutaneous nephrolithotripsy patients under general anesthesia: a retrospective study

Evolving Perspectives on Esophagectomy Care: Clinical Update

Association of DLT versus SLT with postoperative pneumonia during esophagectomy in China: a retrospective comparison study

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