Performance comparison of right- and left-sided double-lumen tubes among infrequent users

Journal of Cardiothoracic and Vascular Anesthesia
Jesse M EhrenfeldWarren S Sandberg

Abstract

To compare performance of right- versus left-sided double-lumen tubes (DLTs) among infrequent users by evaluating the incidence and severity of hypoxemia, hypercapnia, and high airway pressures. A retrospective, cohort study. A university hospital. Ninety-eight patients undergoing left-sided DLT placement (53.9 +/- 21.2 years old) and 98 patients undergoing right-sided DLT placement (62.3 +/- 20.6 years old). Cases performed by thoracic anesthesia specialists were excluded. The authors retrospectively reviewed electronic anesthetic records from a 2-year period to determine the incidence and severity of hypoxia (SpO(2) < 90%), hypercapnia (end-tidal carbon dioxide > 45 mmHg) and high airway pressures (peak inspiratory pressure >35 cmH(2)O) during one-lung ventilation via right and left DLTs. Right-sided (n = 98) DLTs were almost exclusively used on the side contralateral to surgery by infrequent users, whereas left-sided (n = 98) DLTs were used for ipsilateral surgery one third of the time. Hypoxia lasted longer in left versus right DLTs, but the frequency of hypoxia was the same for each tube type among infrequent users. Hypercapnia and high airway pressures occurred more frequently with left-sided DLTs. Left-sided DLTs are per...Continue Reading

Associated Clinical Trials

Feb 19, 2015·Jean Bussières

References

Nov 1, 1987·Anesthesiology·J L BenumofJ Keating
Oct 1, 1993·Journal of Cardiothoracic and Vascular Anesthesia·W E Hurford, P H Alfille
Apr 17, 2002·Journal of Cardiothoracic and Vascular Anesthesia·Edmond Cohen
Jun 27, 2003·Journal of Cardiothoracic and Vascular Anesthesia·Jay B Brodsky, Harry J M Lemmens

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Citations

May 2, 2013·Seminars in Cardiothoracic and Vascular Anesthesia·Marshall StaffordFerenc Puskas
Jun 17, 2015·Asian Cardiovascular & Thoracic Annals·Tevfik KaplanFiliz Tüzüner
Jun 13, 2017·Tumori·Filippo Bernasconi, Federico Piccioni
Nov 19, 2010·Current Opinion in Anaesthesiology·Seiji Ishikawa, Jens Lohser
Feb 17, 2021·Anesthesiology·Hilary P GrocottMichael H Yamashita
Feb 16, 2011·Current Opinion in Anaesthesiology

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