A new strategy in lung/lobe isolation in patients with a lung abscess or a previous lung resection using double lumen tubes combined with bronchial blockers

Granell, Manuel; Rubio-Haro, Ruben; Morales-Sarabia, Javier; Pérez, Elena Biosca; Petrini, Giulia; Guijarro, Ricardo; Andrés, José De

doi:10.4103/aca.aca_16_21

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…However, in thoracoscopic lobectomy, these two options only protect the non-operative lung from contamination and do not protect the non-operative lobe(s) of the operative lung. Recent case reports have explored the protection of non-operative lobe(s) of the operative lung using solutions such as a DLT + BB or the double-bronchial blocker (DBB) technique [3][4][5] . These plans are feasible and can provide lung protection for nonsurgical lung lobes.…”

Section: Introductionmentioning

confidence: 99%

Protecting the non-operative lobe/s of the operative lung can reduce the pneumonia incidence after thoracoscopic lobectomy: a randomised controlled trial

Zhou,

Song,

et al. 2024

Sci Rep

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Lung isolation usually refers to the isolation of the operative from the non-operative lung without isolating the non-operative lobe(s) of the operative lung. We aimed to evaluate whether protecting the non-operative lobe of the operative lung using a double-bronchial blocker (DBB) with continuous positive airway pressure (CPAP) could reduce the incidence of postoperative pneumonia. Eighty patients were randomly divided into two groups (n = 40 each): the DBB with CPAP (Group DBB) and routine bronchial blocker (Group BB) groups. In Group DBB, a 7-Fr BB was placed in the middle bronchus of the right lung for right lung surgery and in the inferior lobar bronchus of the left lung for left lung surgery. Further, a 9-Fr BB was placed in the main bronchus of the operative lung. In Group BB, routine BB placement was performed on the main bronchus on the surgical side. The primary endpoint was the postoperative pneumonia incidence. Compared with Group BB, Group DBB had a significantly lower postoperative pneumonia incidence in the operative (27.5% vs 5%, P = 0.013) and non-operative lung (40% vs 15%) on postoperative day 1. Compared with routine BB use for thoracoscopic lobectomy, using the DBB technique to isolate the operative lobe from the non-operative lobe(s) of the operative lung and providing CPAP to the non-operative lobe(s) through a BB can reduce the incidence of postoperative pneumonia in the operative and non-operative lungs.

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Section: Introductionmentioning

confidence: 99%

Protecting the non-operative lobe/s of the operative lung can reduce the pneumonia incidence after thoracoscopic lobectomy: a randomised controlled trial

Zhou,

Song,

et al. 2024

Sci Rep

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show abstract

“…Recent case reports have explored the protection of non-operative lobe(s) of the operative lung using solutions such as a DLT + BB or the double-bronchial blocker (DBB) technique. [3][4][5] These plans are feasible and can provide lung protection for nonsurgical lung lobes. However, given the small sample sizes of these previous reports, the feasibility and e cacy of using DLT + BB or DBB techniques in thoracoscopic lobectomy still need to be determined.…”

Section: Introductionmentioning

confidence: 99%

Protecting the non-operative lobe/s of the operative lung can reduce the pneumonia incidence after thoracoscopic lobectomy: A randomised controlled trial

Zhou,

Song,

et al. 2023

Preprint

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Background Lung isolation usually refers to the isolation of the operative from the non-operative lung without isolating the non-operative lobe(s) of the operative lung. We aimed to evaluate whether protecting the non-operative lobe of the operative lung using a double-bronchial blocker (DBB) with continuous positive airway pressure (CPAP) could reduce the incidence of postoperative pneumonia. Methods Eighty patients were randomly divided into two groups (n = 40 each): the DBB with CPAP (Group DBB) and routine bronchial blocker (Group BB) groups. In Group DBB, a 7-Fr BB was placed in the middle bronchus of the right lung for right lung surgery and in the inferior lobar bronchus of the left lung for left lung surgery. Further, a 9-Fr BB was placed in the main bronchus of the operative lung. In Group BB, routine BB placement was performed on the main bronchus on the surgical side. The primary endpoint was the postoperative pneumonia incidence. Results Compared with Group BB, Group DBB had a significantly lower postoperative pneumonia incidence in the operative (27.5% vs. 5%, P = 0.013) and non-operative lung (40% vs. 15%) on postoperative day 1. Conclusions Compared with routine BB use for thoracoscopic lobectomy, using the DBB technique to isolate the operative lobe from the non-operative lobe(s) of the operative lung and providing CPAP to the non-operative lobe(s) through a BB can reduce the incidence of postoperative pneumonia in the operative and non-operative lungs. Clinical trial registration : ChiCTR2100052086 (the Chinese Clinical Trial Registry).

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“…I read, with great interest, the article by Gil et al . [ 1 ]—‘a new strategy in lung/lobe isolation in patients with a lung abscess or a previous lung resection using double lumen tubes combined with bronchial blockers.’ I congratulate the authors for the successful management of seven cases where the combination of double lumen tube (DLT) and bronchial blocker (BB) was used for ‘selective lobar blockade.’…”

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confidence: 99%

A Comment on- A New Strategy in Lung/Lobe Isolation in Patients with a Lung Abscess or a Previous Lung Resection Using Double Lumen Tubes Combined with Bronchial Blockers’

Parab

2023

Annals of Cardiac Anaesthesia

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A new strategy in lung/lobe isolation in patients with a lung abscess or a previous lung resection using double lumen tubes combined with bronchial blockers

Cited by 4 publications

References 10 publications

Protecting the non-operative lobe/s of the operative lung can reduce the pneumonia incidence after thoracoscopic lobectomy: a randomised controlled trial

Protecting the non-operative lobe/s of the operative lung can reduce the pneumonia incidence after thoracoscopic lobectomy: a randomised controlled trial

Protecting the non-operative lobe/s of the operative lung can reduce the pneumonia incidence after thoracoscopic lobectomy: A randomised controlled trial

A Comment on- A New Strategy in Lung/Lobe Isolation in Patients with a Lung Abscess or a Previous Lung Resection Using Double Lumen Tubes Combined with Bronchial Blockers’

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