scholarly journals Comparison of EZ blocker and left double-lumen endotracheal tube for one lung ventilation in minimally invasive cardiac surgery

2021 ◽  
Vol 5 (7) ◽  
pp. 1-1
Author(s):  
Onat BERMEDE
2019 ◽  
Vol 03 (01) ◽  
pp. 28-35
Author(s):  
Uma Balasubramanyam ◽  
Poonam Malhotra Kapoor

AbstractThe transition of cardiac surgery away from the traditional sternotomy approach toward more minimally invasive strategies continues to evolve over time. The first minimally invasive cardiac surgery was performed in 2005 in New York by a team led by Dr. Joseph T. McGinn. Anesthesiologists play in a key role in facilitating optimal outcomes in such procedures. Perioperative management of these patients poses specific challenges to the anesthesia team. The anesthesiologist must be skilled in numerous subspecialty skillsets including regional anesthesia and analgesia techniques, and elements of thoracic anesthesia practice, in particular one-lung ventilation (OLV), cardiac anesthesia, and transesophageal echocardiography.


2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Yuki Sugiyama ◽  
Kunihiro Mitsuzawa ◽  
Yuki Yoshiyama ◽  
Fumiko Shimizu ◽  
Satoshi Fuseya ◽  
...  

Robotic surgery with carbon dioxide (CO2) insufflation to the thorax is frequently performed to gain a better operative field of view, although its intraoperative complications have not yet been discussed in detail. We treated two patients with difficult ventilation caused by distal migration of a double-lumen endotracheal tube (DLT) during robotic thymectomy. In the first case, migration of the DLT during one-lung ventilation (OLV) occurred after CO2 insufflation to the bilateral thoraxes was started. Oxygenation rapidly deteriorated because dependent lung expansion was restricted by CO2 insufflation. In the second case, migration of the DLT during OLV occurred while CO2 insufflation to a unilateral thorax and mediastinum was performed. In both cases, once migration of the DLT during OLV occurred with CO2 insufflation, readjusting the DLT became very difficult because our manipulation of bronchofiberscopy was prevented by the robot arms located above the patient’s head and because deformation of the trachea/bronchus induced by CO2 insufflation caused a poor image of the bronchofiberscopic view. Thus, during robotic-assisted thoracoscopic surgery with CO2 insufflation, since there is a potential risk of difficult ventilation with a DLT and since readjustment of the DLT is very difficult, discontinuing CO2 insufflation and switching to double-lung ventilation are needed in such a situation.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Chuncheng Zhang ◽  
Jing Yue ◽  
Mingyue Li ◽  
Wei Jiang ◽  
Yu Pan ◽  
...  

This article has been retracted. Please see the Retraction Notice for more detail: https://doi.org/10.1186/s12890-020-01365-7.


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