scholarly journals Two-lung ventilation in the prone position: is it the standard anesthetic management for thoracoscopic esophagectomy?

2014 ◽  
Vol 62 (3) ◽  
pp. 133-134 ◽  
Author(s):  
Hiroya Takeuchi ◽  
Yuko Kitagawa
Keyword(s):  
Prone Position ◽  
Anesthetic Management ◽  
Lung Ventilation ◽  
Thoracoscopic Esophagectomy

scholarly journals Changes in respiratory mechanics of artificial pneumothorax two-lung ventilation in video-assisted thoracoscopic esophagectomy in prone position

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yoshinori Tanigawa ◽  
Kimihide Nakamura ◽  
Tomoko Yamashita ◽  
Akira Nakagawachi ◽  
Yoshiro Sakaguchi
Keyword(s):  
Esophageal Cancer ◽  
Prone Position ◽  
Respiratory Mechanics ◽  
Lung Ventilation ◽  
Thoracoscopic Esophagectomy ◽  
Secondary Outcome ◽  
One Lung Ventilation ◽  
Cancer Data ◽  
Video Assisted ◽  
Artificial Pneumothorax

AbstractWe aimed to clarify the changes in respiratory mechanics and factors associated with them in artificial pneumothorax two-lung ventilation in video-assisted thoracoscopic esophagectomy in the prone position (PP-VATS-E) for esophageal cancer. Data of patients with esophageal cancer, who underwent PP-VATs-E were retrospectively analyzed. Our primary outcome was the change in the respiratory mechanics after intubation (T1), in the prone position (T2), after initiation of the artificial pneumothorax two-lung ventilation (T3), at 1 and 2 h (T4 and T5), in the supine position (T6), and after laparoscopy (T7). The secondary outcome was identifying factors affecting the change in dynamic lung compliance (Cdyn). Sixty-seven patients were included. Cdyn values were significantly lower at T3, T4, and T5 than at T1 (p < 0.001). End-expiratory flow was significantly higher at T4 and T5 than at T1 (p < 0.05). Body mass index and preoperative FEV1.0% were found to significantly influence Cdyn reduction during artificial pneumothorax and two-lung ventilation (OR [95% CI]: 1.29 [1.03–2.24] and 0.20 (0.05–0.44); p = 0.010 and p = 0.034, respectively]. Changes in driving pressure were nonsignificant, and hypoxemia requiring treatment was not noted. This study suggests that in PP-VATs-E, artificial pneumothorax two-lung ventilation is safer for the management of anesthesia than conventional one-lung ventilation (UMIN Registry: 000042174).

scholarly journals OPERATIVE OUTCOMES IN THORACOSCOPIC-ESOPHAGECTOMY WITH TWO-LUNG VENTILATION IN PRONE POSITION

2021 ◽  
Vol 71 (5) ◽  
pp. 1820-23
Author(s):  
Ibrahim Baloch ◽  
Bilal Umair ◽  
Asif Asghar ◽  
Muhammad Imtiaz Khan ◽  
Muhammad Shoaib Hanif
Keyword(s):  
Blood Loss ◽  
Hospital Stay ◽  
Prone Position ◽  
Lung Ventilation ◽  
Thoracoscopic Esophagectomy ◽  
Military Hospital ◽  
Anesthesia Induction ◽  
Thoracic Esophagus ◽  
One Lung Ventilation ◽  
Operative Outcomes

Objective: To study the post-operative outcomes of two-lung ventilation in patients undergoing prone position thoracoscopicesophagectomy. Study Design: Prospective comparative study. Place and Duration of Study: Department of Thoracic Surgery, Combined Military Hospital, Rawalpindi Pakistan, from Jan to Dec 2019. Methodology: A total of 60 patients operated for both groups of thoraco-esophagectomy in which 34 patients for TLV (two-lung ventilation) and 26 patients for One-lung ventilation were studied. Patients position was prone for Two-lung ventilation in Thoracoscopic-esophagectomy. Post-op blood loss, Hospital stay, duration of anesthesia and operative morbidity was calculated. Results: A total of 60 patients underwent two-lung ventilation in prone position out of which patient of thoracoscopicesophagectomy were 34, while 26 underwent One-lung ventilation in semi-decubitus position thoracoscopic-esophagectomy. All of them were successfully performed without conversion to open thoracotomy. In the study with preparation span for anesthesia induction, mean time of mobilization of thoracic esophagus, mean blood loss during the thoracic mobilization phase, the mean Intensive care unit stay and total hospital stay in two-lung ventilation was less than one-lung ventilation (p<0.05). Conclusion: The present study summarized the clinical outcomes of two-lung ventilation for thoracoscopic-esophagectomy operated patients. This study data showed that Two-lung ventilation intubation in prone position is better approach during the Thoracoscopic-esophagectomy.

scholarly journals Anesthetic Management of a Patient with Thoracic Spine Tumor by One-Lung Ventilation in the Prone Position

2011 ◽  
Vol 31 (1) ◽  
pp. 166-170
Author(s):  
Kazuhiro AWAI ◽  
Kyoko KAGEYAMA ◽  
Yosuke YAMAGUCHI ◽  
Yasufumi NAKAJIMA ◽  
Satoru HASHIMOTO
Keyword(s):  
Prone Position ◽  
Thoracic Spine ◽  
Anesthetic Management ◽  
Lung Ventilation ◽  
One Lung Ventilation ◽  
Spine Tumor

scholarly journals Anesthetic Management of Video-assisted Thoracoscopic Esophagectomy - Comparison of Prone Position and Left Lateral Position -

2012 ◽  
Vol 32 (3) ◽  
pp. 375-380
Author(s):  
Ryoko OHKUBO ◽  
Keiko BAMBA ◽  
Yasushi KITAHARA ◽  
Reiko KOMURA ◽  
Hironobu NISHIMAKI ◽  
...  
Keyword(s):  
Prone Position ◽  
Anesthetic Management ◽  
Lateral Position ◽  
Thoracoscopic Esophagectomy ◽  
Left Lateral Position ◽  
Video Assisted

scholarly journals Better perioperative outcomes in thoracoscopic-esophagectomy with two-lung ventilation in semi-prone position

2017 ◽  
Vol 9 (1) ◽  
pp. 117-122 ◽  
Author(s):  
Lei Cai ◽  
Yan Li ◽  
Li Sun ◽  
Xue-Wen Yang ◽  
Wen-Bin Wang ◽  
...  
Keyword(s):  
Prone Position ◽  
Lung Ventilation ◽  
Thoracoscopic Esophagectomy ◽  
Perioperative Outcomes

Efficacy and safety of artificial pneumothorax under two-lung ventilation in thoracoscopic esophagectomy for esophageal cancer in the prone position

2013 ◽  
Vol 62 (3) ◽  
pp. 163-170 ◽  
Author(s):  
Daisuke Saikawa ◽  
Shunichi Okushiba ◽  
Masaya Kawata ◽  
Tetsuyuki Okubo ◽  
Shuji Kitashiro ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Prone Position ◽  
Lung Ventilation ◽  
Thoracoscopic Esophagectomy ◽  
Efficacy And Safety ◽  
Artificial Pneumothorax
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