Preprint Review Version 2 Preserved in Portico This version is not peer-reviewed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” chest computed tomography (CT) screening of inpatients detects some pulmonary diseases requiring thoracic surgeries timely. As an essential device for thoracic anesthesia, the double-lumen tube (DLT) is particularly important for anesthesia and surgery. With the continuous upgrading 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, the DLT malposition still occurs during transferring patients from supine to lateral position in thoracic surgery, which leads to lung isolation failure and hypoxemia during one-lung ventilation (OLV). Recently some innovative DLTs or improved intervention methods have shown good results in reducing the incidence of DLT malposition. This review aims to summarize the recent studies of the incidence of left-sided DLT malposition, the reasons and effects of malposition, and summarize current methods for reducing DLT malposition and 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

Comments (1)

Comment 1
Received: 23 November 2022
Commenter: Si-Ping Hu
Commenter's Conflict of Interests: Author
Comment: 1. Add more detailed background on “ current methods of reducing DLT malposition" in the introduction section.
2. The text of Figures are blurry and increase the font size and resolution of the figures in the updated Version.
3. The manuscript thoroughly has been checked and grammar and language has been made modifications.
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