A Survey of Thoracic Anesthesia Practice in Chongqing City, China

Liu, Hongliang; Yang, Bin; Chen, Bo

doi:10.1053/j.jvca.2018.10.018

Cited by 3 publications

(4 citation statements)

References 6 publications

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“… 10 The current survey studies demonstrated that right or left DLT depending on the surgery side was generally preferred. 3 , 11 Consistent with the literature, the majority of our participants preferred right DLT for all left-sided surgery and left DLT for all right-sided surgery.…”

Section: Discussionsupporting

confidence: 86%

“…The most commonly used additional monitoring methods are invasive arterial monitoring, central venous catheterization, temperature monitoring, neuromuscular monitoring, and transesophageal doppler. 3 , 5 , 11 In our study, invasive blood pressure monitoring was frequently performed, but the other additional monitoring methods, especially temperature monitoring, without additional cost were used less frequently compared to the current literature.…”

Section: Discussionmentioning

confidence: 95%

“… 14 However, no difference was demonstrated between inhalation and iv anaesthetic agents in terms of complications after thoracic surgery. 15 , 16 Liu et al 11 stated that the combination of inhalation and iv agents was more preferred for the maintenance of anaesthesia during thoracic surgery. In our study, while iv anaesthetics were the most commonly used induction agent (98.6%), the combination of inhalation and iv anaesthetics was frequently preferred for anaesthesia maintenance (56.1%).…”

Section: Discussionmentioning

confidence: 99%

“… 24 However, their superiority to each other in terms of postoperative pulmonary complications could not be demonstrated. 11 Peak airway pressure higher than 35 cmH 2 O and plateau pressure higher than 25 cmH 2 O are considered harmful. 18 Especially in patients with high airway pressure, despite correct tube placement, pressure-controlled ventilation modes may be preferred during OLV.…”

Section: Discussionmentioning

confidence: 99%

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Thoracic Anaesthesia Practices in Turkey: A Survey Study

Doğan¹,

Türktan²,

Güleç³

et al. 2022

Turk J Anaesthesiol Reanim

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Objective: In this survey study, we aimed to investigate thoracic anaesthesia practices in Turkey. Methods: The survey was sent to the members of the Turkish Society of Anesthesiology and Reanimation by e-mail. Participants were asked to answer 35 questions about their thoracic anaesthesia practice. Results: A total of 148 questionnaires were completed. Most of the participants preferred double-lumen endobronchial tube for one-lung ventilation. 69.6% of auscultation method and 45.9% of fiberoptic bronchoscope method were used to confirm the tube position. The most frequently used additional monitoring method was invasive blood pressure. Generally, intravenous anaesthetic agents were preferred for anaesthesia induction, and a combination of inhalation and intravenous agents was used for anaesthesia maintenance. Most of the participants used intraoperative lung-protective mechanical ventilation strategies. For postoperative analgesia, 75% of participants preferred regional analgesic techniques and 89.9% of them used routine opioid agents. In general, moderate amount of fluid was applied (57.4%), crystalloids were the first choice in fluid therapy, and intraoperative hypotension was generally treated with controlled intravenous fluid and vasoactive agents. The haemoglobin threshold value for blood transfusion was stated as 8 g dL −1 by 35.8% of participants. Conclusions: Our data showed that the anaesthesia management of thoracic surgery in Turkey is generally compatible with the current international guidelines. However, the following conclusion was reached: training on blood transfusion, the use of fiberoptic bronchoscope, regional techniques, and intraoperative additional monitoring would be beneficial, and a national consensus should be reached on the thoracic anaesthesia practice.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Thoracic Anaesthesia Practices in Turkey: A Survey Study

Doğan¹,

Türktan²,

Güleç³

et al. 2022

Turk J Anaesthesiol Reanim

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A Survey of the Practice of Thoracic Anesthesia in India

Parab

Patro

Ranganathan

et al. 2021

Journal of Cardiothoracic and Vascular Anesthesia

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Common double-lumen tube selection methods overestimate adequate tube sizes in individual patients – a 3D reconstruction study

Mihatsch,

Weiland,

Helmberger

et al. 2024

BMC Anesthesiol

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Background Appropriate selection of double-lumen tube sizes for one-lung ventilation is crucial to prevent airway damage. Current selection methods rely on demographic factors or 2D radiography. Prediction of left bronchial diameter is indispensable for choosing the adequate tube size. This prospective observational study investigates if current selection methods sufficiently predict individuals’ left bronchial diameters for DLT selection compared to the 3D reconstruction. Methods 100 patients necessitating thoracic surgery with one-lung ventilation and left-sided double-lumen tubes, ≥ 18 years of age, and a set of chest X-rays and 2D thorax CT scans for 3D reconstruction of the left main bronchus were included between 07/2021 and 06/2023. The cross-validated prediction error and the width of the 95%-prediction intervals of the 3D left main bronchial diameter utilizing linear prediction models were based on current selection methods. Results The mean bronchial diameter in 3D reconstruction was 13.6 ± 2.1 mm. The ranges of the 95%-prediction intervals for the bronchial diameter were 6.4 mm for demographic variables, 8.3 mm for the tracheal diameter from the X-ray, and 5.9 mm for bronchial diameter from the 2D-CT scans. Current methods violated the suggested ‘≥1 mm’ safety criterion in up to 7% (men) and 42% (women). Particularly, 2D radiography overestimated women’s left bronchial diameter. Current methods even allowed the selection of double-lumen tubes with bronchial tube sections greater than the bronchial diameter in women. Conclusions Neither demographic nor 2D-radiographic methods sufficiently account for the variability of the bronchial diameter. Wide 95%-prediction intervals for the bronchial diameter hamper accurate individual double-lumen tube selection. This increases women’s risk of bronchial damage, particularly if they have other predisposing factors. These patients may benefit from 3D reconstruction of the left main bronchus. Trial registration Not applicable.

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A Survey of Thoracic Anesthesia Practice in Chongqing City, China

Cited by 3 publications

References 6 publications

Thoracic Anaesthesia Practices in Turkey: A Survey Study

Thoracic Anaesthesia Practices in Turkey: A Survey Study

A Survey of the Practice of Thoracic Anesthesia in India

Common double-lumen tube selection methods overestimate adequate tube sizes in individual patients – a 3D reconstruction study

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