Comparison of the single-lumen endotracheal tube and double-lumen endobronchial tube used in minimally invasive cardiac surgery for the fast track protocol.

Abstract:

BACKGROUND:Minimally invasive cardiac surgery (MICS) has been more commonly performed due to the reduced amount of bleeding and transfusion and length of hospital stay. We investigated the feasibility of performing MICS using single-lumen endotracheal tube (SLT). METHODS:We conducted a retrospective review of clinical data of 112 patients who underwent MICS between July 2012 and March 2015. The patients underwent MICS using a SLT or a double lumen endotracheal tube (DLT). The duration of intensive care unit (ICU) stay and mechanical ventilation were recorded and analyzed. RESULTS:Of the 96 patients, 50 were intubated with a SLT and 46 were intubated with a DLT. Anesthetic induction to skin incision time, surgical time and total anesthetic time were significant decreased in the SLT group (P<0.05). However, there was no difference in the duration of ICU stay and mechanical ventilation, and the incidence of extubation in operation room between the two groups. CONCLUSIONS:Comparing with insertion of a SLT, insertion of a DLT provided equivalent duration of ICU stay and mechanical ventilation after the MICS. Therefore, the type of inserted endotracheal tube would not influence on failure of the fast track protocol and insertion of a SLT is feasible and could be an alternative method to a DLT.

journal_name

J Thorac Dis

authors

Kim HY,Baek SH,Je HG,Kim TK,Kim HJ,Ahn JH,Park SJ

doi

10.21037/jtd.2016.03.13

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

778-83

issue

5

eissn

2072-1439

issn

2077-6624

pii

jtd-08-05-778

journal_volume

8

pub_type

杂志文章
  • Change in treatment modality and trends in survival among stage I non-small cell lung cancer patients: a population-based study.

    abstract:Background:A number of treatment modalities are available to patients with early non-small cell lung cancer (NSCLC) but there is inconsistency regarding their effects on survival. The associated survival of each treatment modality is crucial for patients in making informed treatment decisions. We aimed to examine the c...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-20-1387

    authors: Akhtar-Danesh GG,Finley C,Seow HY,Shakeel S,Akhtar-Danesh N

    更新日期:2020-09-01 00:00:00

  • Combining targeted agents and hypo- and hyper-fractionated radiotherapy in NSCLC.

    abstract::Radical radiotherapy remains the cornerstone of treatment for patients with unresectable locally advanced non small cell lung cancer (NSCLC) either as single modality treatment for poor performance status patients or with sequential or concomitant chemotherapy for good performance status patients. Advances in understa...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2013.12.05

    authors: McDonald F,Popat S

    更新日期:2014-04-01 00:00:00

  • Ultrasound techniques in the evaluation of the mediastinum, part 2: mediastinal lymph node anatomy and diagnostic reach of ultrasound techniques, clinical work up of neoplastic and inflammatory mediastinal lymphadenopathy using ultrasound techniques and h

    abstract::Ultrasound imaging has gained importance in pulmonary medicine over the last decades including conventional transcutaneous ultrasound (TUS), endoscopic ultrasound (EUS), and endobronchial ultrasound (EBUS). Mediastinal lymph node (MLN) staging affects the management of patients with both operable and inoperable lung c...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2015.10.08

    authors: Jenssen C,Annema JT,Clementsen P,Cui XW,Borst MM,Dietrich CF

    更新日期:2015-10-01 00:00:00

  • Use of laryngeal mask airway for non-endotracheal intubated anesthesia for patients with pectus excavatum undergoing thoracoscopic Nuss procedure.

    abstract:BACKGROUND:The aim of the present study was to determine the safety and feasibility of the use of laryngeal mask airway (LMA) for non-endotracheal intubated anesthesia for patients with pectus excavatum (PE) undergoing thoracoscopic Nuss procedure. METHODS:Between July 2015 and December 2015, 30 selected patients with...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.07.52

    authors: Du X,Mao S,Cui J,Ma J,Zhang G,Zheng Y,Zhou H,Xie L,Zhang D,Shi R,Chen G

    更新日期:2016-08-01 00:00:00

  • The pivotal role of pathology in the management of lung cancer.

    abstract::The last decade has seen significant advances in our understanding of lung cancer biology and management. Identification of key driver events in lung carcinogenesis has contributed to the development of targeted lung cancer therapies, heralding the era of personalised medicine for lung cancer. As a result, histologica...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2013.08.43

    authors: Davidson MR,Gazdar AF,Clarke BE

    更新日期:2013-10-01 00:00:00

  • Extracorporeal support, during and after lung transplantation: the history of an idea.

    abstract::During recent years, continuous technological innovation has provoked an increase of extracorporeal life support (ECLS) use for perioperative cardiopulmonary support in lung transplantation. Initial results were disappointing, due to ECLS-specific complications and high surgical risk of the supported patients. However...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.07.43

    authors: Ius F,Tudorache I,Warnecke G

    更新日期:2018-08-01 00:00:00

  • Precontrol of the pulmonary artery during thoracoscopic left upper lobectomy and systemic lymph node dissection.

    abstract::The main reasons of emergent conversion during thoracoscopic lobectomy included tumor invasion, hilar lymph node (LN) metastasis, and lymphoid tuberculosis. We presented a video which depicted a three-portal thoracoscopic left upper lobectomy with dissection of large LNs. Severe adhesions between a large LN and the fi...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.03.56

    authors: Ma L,Mei J,Liu C,Liu L

    更新日期:2016-05-01 00:00:00

  • Long-term outcomes of multiple and single arterial off-pump coronary artery bypass grafting.

    abstract:Background:To compare the clinical outcomes between multiple arterial (MA) and single arterial (SA) off-pump coronary artery bypass grafting (OPCAB) when applied to left main coronary disease or three-vessel disease. Methods:A total of 537 patients with left main coronary disease or three-vessel disease underwent MA O...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.01.101

    authors: Zhu P,Chen A,Wang Z,Ye X,Zhou M,Liu J,Zhao Q

    更新日期:2019-03-01 00:00:00

  • Awake extracorporeal membrane oxygenation in patients with severe postoperative acute respiratory distress syndrome.

    abstract:BACKGROUND:A clinical trial of extracorporeal membrane oxygenation (ECMO) as an alternative ventilator tool is being performed as a new indication for ECMO. The purpose of this study was to evaluate the feasibility of awake ECMO to increase the success rate of weaning patients from ECMO and ventilator care during treat...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2016.01.32

    authors: Yeo HJ,Cho WH,Kim D

    更新日期:2016-01-01 00:00:00

  • Management of acute postoperative pain with continuous intercostal nerve block after single port video-assisted thoracoscopic anatomic resection.

    abstract:BACKGROUND:Effective postoperative pain control for thoracic surgery is very important, not only because it reduces pulmonary complications but also because it accelerates the pace of recovery. Moreover, it increases patients' satisfaction with the surgery. In this study, we present a simple approach involving the safe...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.12.30

    authors: Hsieh MJ,Wang KC,Liu HP,Gonzalez-Rivas D,Wu CY,Liu YH,Wu YC,Chao YK,Wu CF

    更新日期:2016-12-01 00:00:00

  • Short-term high-intensity rehabilitation in radically treated lung cancer: a three-armed randomized controlled trial.

    abstract:BACKGROUND:The feasibility and practicality of preoperative rehabilitation (PR) programs remains quite controversial in the treatment of lung cancer (LC). This study explored whether a short-term high-intensity rehabilitation program could improve postoperative outcomes compared to those achieved with conventional insp...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.06.15

    authors: Huang J,Lai Y,Zhou X,Li S,Su J,Yang M,Che G

    更新日期:2017-07-01 00:00:00

  • Tracheobronchial tumors.

    abstract::Tumors of trachea and bronchi are uncommon and can occur in the form of benign or low- and high-grade malignant tumors. Although tracheobronchial tumors (TBTs) represent only 0.6% of all pulmonary tumors, they are clinically significant. Delays in diagnosis of these tumors commonly occur because the signs and symptoms...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2016.11.24

    authors: Stevic R,Milenkovic B

    更新日期:2016-11-01 00:00:00

  • Air pollution, weather variations and primary spontaneous pneumothorax.

    abstract:BACKGROUND:Spontaneous pneumothoraces (SP) tend to occur in clusters which have been related to atmospheric pressure variations and thunderstorm insurgence. We examined the influence of standard meteorological parameter variations and concentrations of the major air pollutants on incidence of spontaneous pneumothorax (...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:

    authors: Bertolaccini L,Alemanno L,Rocco G,Cassardo C

    更新日期:2010-03-01 00:00:00

  • Adjuvant, neoadjuvant, and definitive radiation therapy for malignant pleural mesothelioma.

    abstract::While ionizing radiotherapy (RT) can provide durable local control, the relative radiosensitivity of surrounding organs such as the lungs and heart and the distributed nature of the pleura limit the ability to safely deliver RT for patients with malignant pleural mesothelioma (MPM). Recent advances in the technologica...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.07.65

    authors: Cramer G,Simone CB 2nd,Busch TM,Cengel KA

    更新日期:2018-08-01 00:00:00

  • Surgical and endoscopic treatment for COPD: patients selection, techniques and results.

    abstract::Chronic obstructive pulmonary disease (COPD) is a very heterogeneous disease characterised by an obstructive lung pattern that constitutes worldwide a major cause of high morbidity and mortality. In the last decades, lung volume reduction surgery (LVRS) has demonstrated to be a potential good alternative to transplant...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.06.156

    authors: Minervini F,Kestenholz PB,Paolini V,Pesci A,Libretti L,Bertolaccini L,Scarci M

    更新日期:2018-10-01 00:00:00

  • Robot-assisted thymectomy via subxiphoid approach: technical details and early outcomes.

    abstract:Background:Trans-subxiphoid thoracoscopic thymectomy is a promising procedure but technically demanding associated with ergonomic discomfort. In order to facilitate this complex procedure, the authors present a modified trans-subxiphoid thymectomy by the use of the Da Vinci robotic system. Methods:A 2-cm longitudinal ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.03.07

    authors: Zhang H,Chen L,Zheng Y,Wang Z,Geng Y,Wang F,Liu D,He A,Li J,Wang Y

    更新日期:2018-03-01 00:00:00

  • Severity of coronary artery disease and retinal microvascular signs in patients with diagnosed versus undiagnosed diabetes: cross-sectional study.

    abstract:BACKGROUND:There is increasing evidence that a considerable proportion of patients with diabetes remain undiagnosed and untreated, however, it is unclear whether this is associated with more severe coronary artery disease (CAD) and microvasculature changes compared with diagnosed patients. We assessed CAD extent and se...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.05.61

    authors: Phan K,Mitchell P,Liew G,Plant AJ,Wang SB,Xu J,Chiha J,Thiagalingam A,Burlutsky G,Gopinath B

    更新日期:2016-07-01 00:00:00

  • Principles and indications of extracorporeal life support in general thoracic surgery.

    abstract::The role of extracorporeal life support (ECLS) has expanded rapidly over the past 15 years to become an important tool in advanced general thoracic surgery practice. Intra-operative and in some cases continued post-operative ECLS is redefining the scope of complex surgical care. ECLS encompasses a spectrum of temporar...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.21037/jtd.2018.03.116

    authors: McRae K,de Perrot M

    更新日期:2018-04-01 00:00:00

  • Clinical outcomes following an initial experience with a novel powered vascular stapler in video-assisted thoracoscopic lobectomies: results of a Chinese multi-center study.

    abstract:Background:The development of minimally invasive surgical approaches has revolutionized surgical care and greatly improved surgical outcomes. This study aimed to evaluate the clinical effectiveness of a powered vascular stapler (PVS) during video-assisted thoracoscopic surgery (VATS) lobectomy. Methods:This prospectiv...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.04.89

    authors: Qiu B,Kang X,Chen KN,Hu J,Li J,Zeng L,Fegelman EJ,Schwiers ML,Creedon EE,Waggoner JR,Ding D,Yang T,Gao S

    更新日期:2019-05-01 00:00:00

  • Differences in the clinical and radiological characteristics of lung-involved toxocariasis between toxocariasis with eosinophilia and those without eosinophilia.

    abstract:BACKGROUND:Previously, most studies did not discuss about the characteristics of lung-involved toxocariasis without eosinophilia. However, the patients are not always accompanied by eosinophilia, so it is necessary to learn about the clinical and radiologic features that may predict pulmonary toxocariasis without eosin...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.3978/j.issn.2072-1439.2014.12.24

    authors: Park BM,Jeong SO,Park HS,Jung SS,Kim SY,Kim JO,Lee JE

    更新日期:2014-12-01 00:00:00

  • A subset of esophageal squamous cell carcinoma patient-derived xenografts respond to cetuximab, which is predicted by high EGFR expression and amplification.

    abstract:Background:Epidermal growth factor receptor (EGFR) is reportedly overexpressed in most esophageal tumors, but most targeted therapies showed no efficacy in non-selected patients. This study aims at investigating the adaptive cetuximab subset in a cohort of esophageal squamous cell carcinoma (ESCC) patient-derived xenog...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2018.09.18

    authors: Zhu H,Wang C,Wang J,Chen D,Deng J,Deng J,Fan J,Badakhshi H,Huang X,Zhang L,Cai J,Guo S,Qian W,Nie Y,Li Q,Zhao K

    更新日期:2018-09-01 00:00:00

  • Impact of attenuated plaques on TIMI grade flow and clinical outcomes of coronary artery disease patients: a systematic review and meta analysis.

    abstract:BACKGROUND:Plaques with a large necrotic core or lipid pool and thin-cap fibroatheroma manifest as attenuated plaques on intravascular ultrasound (IVUS). Their impact on TIMI grade flow and clinical outcomes remains undefined. We performed a systematic review and meta-analysis to summarize the association between atten...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2016.02.51

    authors: Jia R,Nie X,Li H,Zhu H,Pu L,Li X,Han J,Yang D,Meng S,Jin Z

    更新日期:2016-03-01 00:00:00

  • Determining the optimal puncture site of CT-guided transthoracic needle aspiration biopsy for the diagnosis of tuberculosis.

    abstract:Background:The purpose of this study was to determine the optimal puncture site of computed tomography (CT)-guided transthoracic needle aspiration biopsy for the diagnosis of tuberculosis (TB) by the comparison of clinical and radiological characteristics of TB patients stratified to different histopathological results...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd-19-3293

    authors: Zhou Z,Dong Y,Li C,Wang D,Lv Y,Lv P,Pang Y

    更新日期:2020-08-01 00:00:00

  • Circ_0058063 upregulates GLUT1 expression and promotes glucose-uptake in esophageal squamous-cell carcinomas.

    abstract:Background:CirRNA Circ_0058063 has been proven as an oncogene in bladder cancer, while its involvement in esophageal squamous-cell carcinomas (ESCC) is unknown. This study aimed to investigate the role of Circ_0058063 in ESCC. Methods:Paired ESCC and non-tumor tissues were collected from ESCC patients and gene express...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2019.12.57

    authors: Zheng Y,Chen Y,Jiang H,Zhang H,Wang H,Xu J,Yu Z

    更新日期:2020-03-01 00:00:00

  • Reconstruction of mediastinal vessels for invasive thymoma: a retrospective analysis of 25 cases.

    abstract:BACKGROUND:Discuss an appropriate strategy for treatment of invasive thymoma invading adjacent great vessels. METHODS:A retrospective study on 25 patients with invasive thymoma invading neighboring great vessels was performed. The corresponding data including clinical presentation, operation procedure, adjuvant radio-...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.03.03

    authors: Sun Y,Gu C,Shi J,Fang W,Luo Q,Hu D,Fu S,Pan X,Chen Y,Yang Y,Yang H,Zhao H,Chen H

    更新日期:2017-03-01 00:00:00

  • Comparison of continuous compression with regular ventilations versus 30:2 compressions-ventilations strategy during mechanical cardiopulmonary resuscitation in a porcine model of cardiac arrest.

    abstract:Background:A compression-ventilation (C:V) ratio of 30:2 is recommended for adult cardiopulmonary resuscitation (CPR) by the current American Heart Association (AHA) guidelines. However, continuous chest compression (CCC) is an alternative strategy for CPR that minimizes interruption especially when an advanced airway ...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2017.08.167

    authors: Yang Z,Liu Q,Zheng G,Liu Z,Jiang L,Lin Q,Chen R,Tang W

    更新日期:2017-09-01 00:00:00

  • To avoid compensatory hyperhidrosis after sympathetic surgery for craniofacial hyperhidrosis.

    abstract:Background:Endoscopic thoracic sympathectomy (ETS) has not been widely adopted for treating craniofacial hyperhidrosis (CFH) due to its known postoperative complication, compensatory hyperhidrosis (CH). In this study, we evaluated whether the autonomic nerve analysis data via pre-ETS heart rate variability (HRV) test c...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章

    doi:10.21037/jtd.2020.03.28

    authors: Moon DH,Kang DY,Lee HS,Lee JW,Lee YJ,Lee S

    更新日期:2020-05-01 00:00:00

  • Tracheal replacement.

    abstract::Non-malignant and malignant obstruction of the tracheal airway causes significant morbidity and mortality. With increased use of artificial airways, benign and iatrogenic complications are increasing. A tracheal stenosis that is less than 5 cm in length can be resected with end-to-end anastomosis. Longer tracheal lesi...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2016.01.85

    authors: Delaere P,Van Raemdonck D

    更新日期:2016-03-01 00:00:00

  • Air leak after lung resection: pathophysiology and patients' implications.

    abstract::Protocols for the management of air leaks are critical aspects in the postoperative course of patients following lung resections. Many investigations in the last decade are focusing on the chest tube modalities or preventative measures, however, little is known about the pathophysiology of air leak and the patient per...

    journal_title:Journal of thoracic disease

    pub_type: 杂志文章,评审

    doi:10.3978/j.issn.2072-1439.2015.11.08

    authors: Pompili C,Miserocchi G

    更新日期:2016-02-01 00:00:00

  • Transcatheter aortic valve implantation for patients with lung cancer and aortic valve stenosis.

    abstract::Many patients who require lung resection have cardiovascular and cerebrovascular comorbidities. It has been recommended that surgical aortic valve replacement (SAVR) should precede lung resection in patients with severe aortic valve stenosis (AS). However, by first undergoing transcatheter aortic valve implantation (T...

    journal_title:Journal of thoracic disease

    pub_type:

    doi:10.21037/jtd.2018.04.83

    authors: Sakai T,Yahagi K,Miura S,Hoshino T,Yokota T,Tanabe K,Ikeda S

    更新日期:2018-05-01 00:00:00