ArticleJournal of thoracic disease2019
Airway management in anesthesia for thoracic surgery: a "real life" observational study.
Article in Journal of thoracic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 38 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.
- Comparison of the effect of double-lumen endotracheal tubes and bronchial blockers on lung collapse in video-assisted thoracoscopic surgery: a systematic review and meta-analysis.BMC anesthesiology · 2022Pooled it
- Individualized rotation of left double lumen endobronchial tube to improve placement success rate: a randomized controlled trial.Respiratory research · 2024Trial
- Protecting the non-operative lobe/s of the operative lung can reduce the pneumonia incidence after thoracoscopic lobectomy: a randomised controlled trial.Scientific reports · 2024Trial
- Aerosolized prostaglandin EClinics (Sao Paulo, Brazil) · 2026Article
- Nuances of perioperative lung isolation and airway management.Journal of thoracic disease · 2026Review
- CT-derived quantitative imaging biomarkers for hypoxemia risk in repeated lung resection: a retrospective study.BMC medical imaging · 2026Article
- Article
- Double-Lumen Intubation Facilitating a Single-Anesthesia Workflow in Robot-Assisted Navigational Bronchoscopy and Subsequent Lung Resection: A Single-Center, Retrospective Study.Journal of clinical medicine · 2026Article
- Comprehensive Tracheobronchial Morphometry in Korean Adults: Clinical Implications for Double-Lumen Tube Sizing and Right Upper Lobe Alignment.Journal of clinical medicine · 2026Article
- To Breathe or Not to Breathe: Spontaneous Ventilation During Thoracic Surgery in High-Risk COPD Patients-A Feasibility Study.Journal of clinical medicine · 2025Article
- Deciding how to decide the correct double-lumen tube: a narrative review of methods and evidence.Journal of anesthesia, analgesia and critical care · 2025Review
- Quantitative lung CT indicators have good predictive ability for hypoxemia during one-lung ventilation in radical resection for lung cancer.Journal of anesthesia · 2025Article
- Bronchial Blockers versus Double-Lumen Endotracheal Tubes: Impact on Postoperative Pneumonia in Lung Cancer Patients Undergoing Video-Assisted Thoracoscopic Surgery - A Propensity Score-Matched Study.Risk management and healthcare policy · 2025Article
- Role of VATS-US in identifying and characterizing pulmonary nodules: a narrative review.Frontiers in surgery · 2025Review
- Comparing the lung isolation efficacy of bronchial blocker positioning via electromagnetic navigation bronchoscopy versus fiberoptic bronchoscopy: a randomized study.Journal of thoracic disease · 2024Article
- Bibliometric and knowledge map analysis of one lung ventilation.Journal of thoracic disease · 2024Article
- Cardiopulmonary crisis caused by bronchial blocker malposition in a patient with aberrant tracheal anatomy: a case report.BMC anesthesiology · 2024Article
- Common double-lumen tube selection methods overestimate adequate tube sizes in individual patients - a 3D reconstruction study.BMC anesthesiology · 2024Observational
- Video double-lumen tube for one lung ventilation: implementation and experience in 343 cases of routine clinical use during the first 20 months of the SARS-CoV-2 pandemic.Journal of cardiothoracic surgery · 2024Article
- Comparison of early postoperative pulmonary complications between two-lung ventilation with artificial pneumothorax and one-lung ventilation with bronchial blockade in patients undergoing minimally invasive esophagectomy: a retrospective propensity score-matched cohort study.Journal of thoracic disease · 2024Article
Corrections and comments
- Erratum issued
Authors and funding
25 authors at 8 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOne-lung ventilation (OLV) in thoracic anesthesia is required to provide good surgical exposure. OLV is commonly achieved through a double lumen tube (DLT) or a bronchial blocker (BB). Malposition is a relevant issue related to these devices use. No prospective studies with adequately large sample size have been performed to evaluate the malposition rate of DLTs and BBs.
methodsA total of 2,127 patients requiring OLV during thoracic surgery were enrolled. The aim of this multicenter prospective observational study performed across 26 academic and community hospitals is to evaluate intraoperative malposition rate of DLTs and BBs. We also aim to assess: which device is the most used to achieve OLV, the frequency of bronchoscope (BRO) use, the incidence rate of desaturation during OLV and the role of other factors that can correlate to this event, and incidence of difficult airway.
resultsMalposition rate for DLTs was 14%, for BBs 33%. DLTs were used in 95% of patients and BBs in 5%. Mean positioning time was shorter for DLT than BB (156±230
conclusionsDLT has a low malpositioning rate and is the preferred device to achieve OLV. BRO use recorded was unexpectedly low. The possibility of encountering a difficult airway is frequent, with an overall prevalence of 16%. Risk factors of desaturation are malposition and increased size of DLT. Left procedures and BRO use could lead to fewer episodes of desaturation.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.