Selective lung ventilation during thoracoscopy: Effects of insufflation on hemodynamics

A randomized controlled trial to determine the effects of humidified carbon dioxide insufflation during thoracoscopy

“…The reason for changing to an endotracheal tube was the presence, as an unpredictable complication, of an upper lobe bronchus originating from the trachea on the left side. Although an upper lobe bronchus originating from the right side is well recognized in pigs [8,9,11,12,19], the left-sided anatomical variation has not been described previously.…”

“…The insufflation was performed at nearambient pressure, since insufflation at pressures of >5 mmHg is not recommended during thoracoscopy [8,9,20]. The crossover design of this type of study and the controlled methodology have been previously described [1,2].…”

Hemodynamic responses to intrapleural insufflation with hemipulmonary collapse

“…The authors of that study suggested that thoracotomy was preferable to a thoracoscopic approach in cases requiring insufflation [4]. Due to the anatomical differences between pigs and humans, intrapleural insufflation may cause greater hemodynamic damage in pigs.…”

Asystolic Cardiac Arrest, Following Insufflation of Pleural Cavity in Robotic Assisted Thoracoscopic Thymectomy (RATT) - Case Report

“…These changes are more marked in right sided carbomediastinum than the left side as it is a low pressure chamber in the cardiovascular system [3][4][5][6][7][8][9][10][11][12][13]. In review literature, the American association of Gynecology reported an incidence of one in 2500 cases asystolic arrest during laparoscopy [7].…”