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Recent advances in double-lumen tube malposition in thoracic surgery: A bibliometric analysis and narrative literature review.
Zhang, Xi; Wang, Dong-Xu; Wei, Jing-Qiu; Liu, He; Hu, Si-Ping.
  • Zhang X; Department of Anesthesiology, Huzhou Central Hospital, The Affiliated Huzhou Hospital, Zhejiang University School of Medicine, Affiliated Central Hospital of Huzhou University, Huzhou, China.
  • Wang DX; Department of Anesthesiology, The First Affiliated Hospital, Zhejiang University School of Medicine, Huzhou, China.
  • Wei JQ; Department of Anesthesiology, Huzhou Central Hospital, The Affiliated Huzhou Hospital, Zhejiang University School of Medicine, Affiliated Central Hospital of Huzhou University, Huzhou, China.
  • Liu H; Department of Education and Training, Huzhou Central Hospital, The Affiliated Huzhou Hospital, Zhejiang University School of Medicine, Affiliated Central Hospital of Huzhou University, Huzhou, China.
  • Hu SP; Department of Anesthesiology, Huzhou Central Hospital, The Affiliated Huzhou Hospital, Zhejiang University School of Medicine, Affiliated Central Hospital of Huzhou University, Huzhou, China.
Front Med (Lausanne) ; 9: 1071254, 2022.
Article in English | MEDLINE | ID: covidwho-2199007
ABSTRACT
Thoracic surgery has increased drastically in recent years, especially in light of the severe outbreak of the 2019 novel coronavirus disease (COVID-19). Routine "passive" chest computed tomography (CT) screening of inpatients detects some pulmonary diseases requiring thoracic surgeries timely. As an essential device for thoracic anesthesia, the double-lumen tube (DLT) is particularly important for anesthesia and surgery. With the continuous upgrading of the DLTs and the widespread use of fiberoptic bronchoscopy (FOB), the position of DLT in thoracic surgery is gradually becoming more stable and easier to observe or adjust. However, DLT malposition still occurs during transferring patients from a supine to the lateral position in thoracic surgery, which leads to lung isolation failure and hypoxemia during one-lung ventilation (OLV). Recently, some innovative DLTs or improved intervention methods have shown good results in reducing the incidence of DLT malposition. This review aims to summarize the recent studies of the incidence of left-sided DLT malposition, the reasons and effects of malposition, and summarize current methods for reducing DLT malposition and prospects for possible approaches. Meanwhile, we use bibliometric analysis to summarize the research trends and hot spots of the DLT research.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Diagnostic study / Observational study / Reviews Language: English Journal: Front Med (Lausanne) Year: 2022 Document Type: Article Affiliation country: Fmed.2022.1071254

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Diagnostic study / Observational study / Reviews Language: English Journal: Front Med (Lausanne) Year: 2022 Document Type: Article Affiliation country: Fmed.2022.1071254