FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2024556860> ?p ?o ?g. }

• W2024556860 abstract "One lung ventilation (OLV) is a commonly used technique to accomplish surgical visualization during thoracic surgical procedures, and is often required unexpectedly during surgery. In most cases, OLV is done with through intraoperative tube change, or with various bronchial blockers (BBs) [1,2]. However, if changing the tube is not possible (e.g. active oral bleeding, or severe intraoral edema), or, even worse, if the BBs are not prepared (less prepared conditions, or emergency situations), intermittent two lung ventilation (TLV) or high frequency jet ventilation (HFJV) is the last choice [3].A 48-year-old (178 cm, 68 kg) man was scheduled for emergency surgical drainage of a deep neck infection. For the postoperative airway management, awake nasal intubation was selected. The oropharyngeal mucous membranes were topically anaesthetized with 4% lidocaine. This was supplemented with shallow sedation using intravenous infusion of dexmedetomidine 1 mcg/kg for 10 minutes. Fiberoptic intubation through the nose was performed with a 7.0 wire-reinforced endotracheal tube (ETT).Anesthesia was induced with propofol and vecuronium, maintained with a mixture of desflurane and oxygen (FiO2 0.4) and remifentanil infusion. TLV was started with tidal volume of 10 ml/kg at 12 rates/min. Initial body temperature was 39.0℃ and peak airway pressure was 18 cmH2O.Because the abscess drainage was not adequate, it was decided to do further drainage through a thoracoscopy. But changing to a double lumen tube (DLT) or a Univent® tube (Fuji system corp., Tokyo, Japan) was impossible due to severe intraoral edema. BBs and Fogarty catheter were not prepared.Intermittent TLV was applied initially, but because of the inadequate visualization of the operative field, we tried to use a BB housed in the Univent® tube, extracted by cutting the main tube. The BB and the fiberoptic bronchoscopy (FB) were too bulky to enter the ETT together, so after measuring the approximate distance from the orifice of the ETT to the carina and to the left main bronchus with the FB, the BB was inserted blindly. The balloon was inflated incrementally until adequate OLV was confirmed with auscultation. A short corrugated tube was connected to the ETT because the BB was longer than the ETT (Fig. 1). The short corrugated tube was semitransparent and had a large internal diameter, so it did not disturb the position of the BB. No adverse events were observed, and adequate OLV was maintained throughout 120 min of thoracoscopic procedure. Tidal volume was 700 ml at 13 rates/min. Peak airway pressures were well maintained between 25 and 28 cmH2O. After completing the drainage, we removed the BB and ventilated both lungs with the ETT. The patient was cared for in the intensive care unit after surgery. On the sixth day after the operation, the patient was extubated and showed no respiratory complications.Fig. 1Short corrugated tube is used as an extension to connect the endotracheal tube with the breathing circuit. (A) Endotracheal tube, (B) Short corrugated tube, (C) Separated bronchial blocker, (D) Connector of breathing circuit.In modern practice, left-sided DLT is most widely accepted to facilitate OLV. Independent BBs and a Univent® tube are also reliable alternatives. However, there are certain cases when intubation with DLT is not possible, or when intraoperative tube change is not available. In those cases, independent BBs serve as ideal devices [4]. But in cases of emergency situations or less prepared conditions, BBs might be not available. The ETT can be advanced into the bronchus, but nasotracheal intubation does not allow it. Intermittent TLV or HFJV is the last choice.Intermittent TLV is necessary when OLV is inadequate, but it will interrupt the surgery. HFJV does not hinder surgical procedure. A specific ventilator, a special adaptor, and an oxygen insufflation catheter, however, are required.The BB housed in a small channel bored in the wall of the Univent® tube is longer than a standard ETT and has a bulky proximal end. Its distal end could be passed easily through the ETT, but the FB could not be passed together with it. So we estimated the distance from the connector of the ETT to the left main bronchus with FB, and the BB was then passed through the ETT blindly. Only indirect confirmation of the BB placement from auscultation will be available. Because the BB of the Univent® tube is somewhat stiff, gentle manipulation is required and it should not be advanced against significant resistance.To connect the ETT and the connector of the breathing circuit, a short corrugated tube is a reliable device. It has a large internal diameter and its length can be easily controlled, so the bulky proximal end of the BB can be placed in it without increasing the airway pressure (Fig. 1).In conclusion, the unhoused bronchial blocker of a Univent® tube with a short corrugated tube was a reliable temporary solution for OLV without independent BBs or a Fogarty catheter." @default.
• W2024556860 created "2016-06-24" @default.
• W2024556860 creator A5006086693 @default.
• W2024556860 creator A5018922000 @default.
• W2024556860 creator A5055397906 @default.
• W2024556860 date "2013-01-01" @default.
• W2024556860 modified "2023-09-23" @default.
• W2024556860 title "Temporary solution for one lung ventilation with isolated bronchial blocker of Univent® tube" @default.
• W2024556860 cites W1964180110 @default.
• W2024556860 cites W2010640873 @default.
• W2024556860 cites W2089356100 @default.
• W2024556860 cites W2495366537 @default.
• W2024556860 doi "https://doi.org/10.4097/kjae.2013.64.2.187" @default.
• W2024556860 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3581794" @default.
• W2024556860 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23460937" @default.
• W2024556860 hasPublicationYear "2013" @default.
• W2024556860 type Work @default.
• W2024556860 sameAs 2024556860 @default.
• W2024556860 citedByCount "0" @default.
• W2024556860 crossrefType "journal-article" @default.
• W2024556860 hasAuthorship W2024556860A5006086693 @default.
• W2024556860 hasAuthorship W2024556860A5018922000 @default.
• W2024556860 hasAuthorship W2024556860A5055397906 @default.
• W2024556860 hasBestOaLocation W20245568601 @default.
• W2024556860 hasConcept C126322002 @default.
• W2024556860 hasConcept C127413603 @default.
• W2024556860 hasConcept C177713679 @default.
• W2024556860 hasConcept C200457457 @default.
• W2024556860 hasConcept C2777551473 @default.
• W2024556860 hasConcept C2777714996 @default.
• W2024556860 hasConcept C42219234 @default.
• W2024556860 hasConcept C71924100 @default.
• W2024556860 hasConcept C78519656 @default.
• W2024556860 hasConceptScore W2024556860C126322002 @default.
• W2024556860 hasConceptScore W2024556860C127413603 @default.
• W2024556860 hasConceptScore W2024556860C177713679 @default.
• W2024556860 hasConceptScore W2024556860C200457457 @default.
• W2024556860 hasConceptScore W2024556860C2777551473 @default.
• W2024556860 hasConceptScore W2024556860C2777714996 @default.
• W2024556860 hasConceptScore W2024556860C42219234 @default.
• W2024556860 hasConceptScore W2024556860C71924100 @default.
• W2024556860 hasConceptScore W2024556860C78519656 @default.
• W2024556860 hasLocation W20245568601 @default.
• W2024556860 hasLocation W20245568602 @default.
• W2024556860 hasLocation W20245568603 @default.
• W2024556860 hasLocation W20245568604 @default.
• W2024556860 hasLocation W20245568605 @default.
• W2024556860 hasOpenAccess W2024556860 @default.
• W2024556860 hasPrimaryLocation W20245568601 @default.
• W2024556860 hasRelatedWork W2007746127 @default.
• W2024556860 hasRelatedWork W2045867381 @default.
• W2024556860 hasRelatedWork W2059174283 @default.
• W2024556860 hasRelatedWork W2170431845 @default.
• W2024556860 hasRelatedWork W2375472818 @default.
• W2024556860 hasRelatedWork W2420746378 @default.
• W2024556860 hasRelatedWork W2780028606 @default.
• W2024556860 hasRelatedWork W3005652238 @default.
• W2024556860 hasRelatedWork W4240407444 @default.
• W2024556860 hasRelatedWork W4252371801 @default.
• W2024556860 isParatext "false" @default.
• W2024556860 isRetracted "false" @default.
• W2024556860 magId "2024556860" @default.
• W2024556860 workType "article" @default.