Mizuko Ikeda1,2, Miwako Tanabe3,4, Ayumi Fujimoto3, Tomoka Matsuoka3, Makoto Sumie5, Ken Yamaura6. 1. Department of Anesthesiology, Federation of National Public Service Personnel Mutual Aid Associations, Fukuoka, Japan. ikedam@college.fdcnet.ac.jp. 2. Present Address: Section of Anesthesiology, Department of Diagnostics and General Care, Fukuoka Dental College, 2-15-1, Tamura, Sawara-ku, Fukuoka, Fukuoka, 814-0193, Japan. ikedam@college.fdcnet.ac.jp. 3. Department of Anesthesiology, Federation of National Public Service Personnel Mutual Aid Associations, Fukuoka, Japan. 4. Present Address: Department of Anesthesiology, St. Mary's Hospital, Fukuoka, Japan. 5. Department of Anesthesiology and Critical Care Medicine, Kyushu University Hospital, Fukuoka, Japan. 6. Department of Anesthesiology and Critical Care Medicine, Graduate School of Medical Science, Kyushu University, Fukuoka, Japan.
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.
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.
Entities:
Keywords:
Broncoscopy; Jet ventilation; Pulmonary segmentectomy; Thoracoscopic surgery
Authors: Galal Ghaly; Mohamed Kamel; Abu Nasar; Subroto Paul; Paul C Lee; Jeffrey L Port; Brendon M Stiles; Nasser K Altorki Journal: Ann Thorac Surg Date: 2015-09-26 Impact factor: 4.330
Authors: B Zane Atkins; David H Harpole; Jennifer H Mangum; Eric M Toloza; Thomas A D'Amico; William R Burfeind Journal: Ann Thorac Surg Date: 2007-10 Impact factor: 4.330