Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Recent Advances in Double-Lumen Tube Malposition in Thoracic Surgery: A Bibliometric Analysis and Narrative Literature Review

Version 1 : Received: 13 October 2022 / Approved: 14 October 2022 / Online: 14 October 2022 (14:19:54 CEST)
Version 2 : Received: 22 November 2022 / Approved: 23 November 2022 / Online: 23 November 2022 (07:20:57 CET)

A peer-reviewed article of this Preprint also exists.

Zhang, X.; Wang, D.-X.; Wei, J.-Q.; Liu, H.; Hu, S.-P. Recent Advances in Double-Lumen Tube Malposition in Thoracic Surgery: A Bibliometric Analysis and Narrative Literature Review. Frontiers in Medicine, 2022, 9. https://doi.org/10.3389/fmed.2022.1071254. Zhang, X.; Wang, D.-X.; Wei, J.-Q.; Liu, H.; Hu, S.-P. Recent Advances in Double-Lumen Tube Malposition in Thoracic Surgery: A Bibliometric Analysis and Narrative Literature Review. Frontiers in Medicine, 2022, 9. https://doi.org/10.3389/fmed.2022.1071254.

Abstract

The thoracic surgery has increased drastically in recent years, especially in the light of the severe outbreak of 2019 novel coronavirus disease (COVID-19). Routine “passive” computed tomography of the chest screening of inpatients detects some pulmonary disease requiring thoracic surgeries timely. As an essential equipment for thoracic anesthesia, the double-lumen tube (DLT) in precise position is particularly important for anesthesia and surgery. With the continuous up-grading of the DLTs and the widespread use of the fiberoptic bronchoscopy (FOB), the position of DLT in thoracic surgery is gradually becoming more stable and easier to observe or adjust. However, for reasons such as transferring the patient to the lateral position, the DLT malposition still occurs in thoracic surgery, leading to lung isolation failure and hypoxemia during one-lung ventilation (OLV). Recently some innovative DLTs based on traditional have shown good results in reducing the incidence of DLT malposition, and some studies also found a lower malposition rate through improved intervention methods. This review aims to discuss and summarize the recent rates of left-sided DLT malposition, the reasons and effects of malposition, and to sum up current methods of reducing DLT malposition as well as prospects for possible approaches. Meanwhile, we use bibliometric analysis to summarize the research trends and hot spots of the DLT research.

Keywords

Double lumen tube; Malposition; Thoracic surgery; Airway management; One-lung ventilation; Fiberoptic bronchoscopy; Bibliometric analysis

Subject

Medicine and Pharmacology, Anesthesiology and Pain Medicine

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