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Positioning of double-lumen tubes based on the minimum peak inspiratory pressure difference between the right and left lungs in short patients: A prospective observational study

DC FieldValueLanguage
dc.contributor.author김신형-
dc.contributor.author신서경-
dc.contributor.author오영준-
dc.contributor.author조진선-
dc.contributor.author최용선-
dc.date.accessioned2015-01-06T16:31:10Z-
dc.date.available2015-01-06T16:31:10Z-
dc.date.issued2014-
dc.identifier.issn0265-0215-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/98258-
dc.description.abstractBACKGROUND: Peak inspiratory pressures (PIPs) during one-lung ventilation (OLV) have served as a clinical marker that could indirectly verify the proper positioning of double-lumen tubes (DLTs). Patients of short stature are highly susceptible to initial DLT malpositioning. OBJECTIVES: We investigated the usefulness of positioning left-sided DLTs using minimum PIP differences between the right and left lungs by comparing with the previously used method of auscultation without fibreoptic bronchoscopy (FOB). We also evaluated the difference in PIPs between the two lungs during OLV after the DLT was ideally positioned with FOB examination. DESIGN: Prospective, observational study. SETTING: A university hospital. PATIENTS: One hundred and two female patients of short stature (≤160  cm). INTERVENTIONS: Verification of DLT position was conducted by three sequential steps: auscultation; minimising the difference in PIP during each OLV; and verifying the resulting position by FOB. MAIN OUTCOME MEASUREMENTS: Fibreoptic bronchoscopic view results of DLT position followed by the position adjustment using the minimum PIP difference method. RESULTS: Repositioning the DLT using the minimum PIP difference led to clinically successful positioning of the DLT in 88% of patients and a more ideal placement of the tube than auscultation alone (69.6 vs. 11.8%, P <0.001). Additionally, the ideal position of DLTs verified by FOB showed that PIP differences were zero or ±1  mmHg in 93% of patients. CONCLUSION: Positioning the DLT based on the minimum PIP difference between the right and left lungs as a supplementation to routine auscultation serves as an easy and reliable method for DLT positioning and may improve the accuracy of DLT positioning as an adjuvant to FOB in short patients.-
dc.description.statementOfResponsibilityopen-
dc.format.extent137~142-
dc.relation.isPartOfEUROPEAN JOURNAL OF ANAESTHESIOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHAged-
dc.subject.MESHBody Height*-
dc.subject.MESHBronchoscopy/instrumentation-
dc.subject.MESHBronchoscopy/methods*-
dc.subject.MESHEquipment Design-
dc.subject.MESHFemale-
dc.subject.MESHFiber Optic Technology-
dc.subject.MESHHospitals, University-
dc.subject.MESHHumans-
dc.subject.MESHIntubation, Intratracheal/instrumentation-
dc.subject.MESHIntubation, Intratracheal/methods*-
dc.subject.MESHLung/metabolism-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOne-Lung Ventilation/instrumentation-
dc.subject.MESHOne-Lung Ventilation/methods*-
dc.subject.MESHProspective Studies-
dc.titlePositioning of double-lumen tubes based on the minimum peak inspiratory pressure difference between the right and left lungs in short patients: A prospective observational study-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology (마취통증의학)-
dc.contributor.googleauthorShin H. Kim-
dc.contributor.googleauthorYong S. Choi-
dc.contributor.googleauthorSeokyung Shin-
dc.contributor.googleauthorJin S. Cho-
dc.contributor.googleauthorDa J. Nam-
dc.contributor.googleauthorYoung J. Oh-
dc.identifier.doi10.1097/EJA.0b013e328364c3a7-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA00676-
dc.contributor.localIdA02109-
dc.contributor.localIdA02389-
dc.contributor.localIdA03914-
dc.contributor.localIdA04119-
dc.relation.journalcodeJ00807-
dc.identifier.eissn1365-2346-
dc.identifier.pmid24047768-
dc.identifier.urlhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00003643-201403000-00003&LSLINK=80&D=ovft-
dc.contributor.alternativeNameKim, Shin Hyung-
dc.contributor.alternativeNameShin, Seo Kyung-
dc.contributor.alternativeNameOh, Young Jun-
dc.contributor.alternativeNameCho, Jin Sun-
dc.contributor.alternativeNameChoi, Yong Seon-
dc.contributor.affiliatedAuthorKim, Shin Hyung-
dc.contributor.affiliatedAuthorShin, Seo Kyung-
dc.contributor.affiliatedAuthorOh, Young Jun-
dc.contributor.affiliatedAuthorCho, Jin Sun-
dc.contributor.affiliatedAuthorChoi, Yong Seon-
dc.rights.accessRightsfree-
dc.citation.volume31-
dc.citation.number3-
dc.citation.startPage137-
dc.citation.endPage142-
dc.identifier.bibliographicCitationEUROPEAN JOURNAL OF ANAESTHESIOLOGY, Vol.31(3) : 137-142, 2014-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers

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