Bibliographic Details
| Title: |
Predictors of failure of intersegmental line creation using bronchoscopic jet ventilation for thoracoscopic pulmonary segmentectomy |
| Authors: |
Mizuko Ikeda, Miwako Tanabe, Ayumi Fujimoto, Tomoka Matsuoka, Makoto Sumie, Ken Yamaura |
| Source: |
JA Clinical Reports, Vol 7, Iss 1, Pp 1-9 (2021) |
| Publisher Information: |
SpringerOpen, 2021. |
| Publication Year: |
2021 |
| Collection: |
LCC:Anesthesiology
LCC:Medical emergencies. Critical care. Intensive care. First aid |
| Subject Terms: |
Thoracoscopic surgery, Pulmonary segmentectomy, Broncoscopy, Jet ventilation, Anesthesiology, RD78.3-87.3, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| More Details: |
Abstract Background During pulmonary segmentectomy, identification of the target segment is essential. We used bronchoscopic jet ventilation (BJV) to delineate the intersegmental plane by selectively sending air into the target segment. The purpose of this study was to investigate the factors associated with BJV failure. Methods Data were retrospectively collected from 48 patients who underwent pulmonary segmentectomy with BJV between March 2014 and May 2019 at a single center. Data were compared between BJV succeeded cases and failed cases. Results In 13 cases (27%), BJV were unsuccessful. The Brinkman index was significantly higher in failed cases (962 ± 965 failed vs. 395 ± 415 successful, P = 0.0067). The success rate was significantly lower when BJV was applied to the posterior basal segmental bronchus (B10) (B10: 1/5 (20%) vs others: 34/43 (79%), P = 0.015). Conclusion Long-term smoking and the bronchus corresponding to the posterior basal segment might make successful performance of BJV difficult. |
| Document Type: |
article |
| File Description: |
electronic resource |
| Language: |
English |
| ISSN: |
2363-9024 |
| Relation: |
https://doaj.org/toc/2363-9024 |
| DOI: |
10.1186/s40981-021-00457-5 |
| Access URL: |
https://doaj.org/article/08bf95eecebb479a9f36aac685aee8f2 |
| Accession Number: |
edsdoj.08bf95eecebb479a9f36aac685aee8f2 |
| Database: |
Directory of Open Access Journals |
