{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T05:07:17Z","timestamp":1784610437182,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>This retrospective single\u2010centre service evaluation describes double\u2010lumen tube one\u2010lung ventilation as a respiratory motion\u2010control strategy for hepatic histotripsy in 26 adults in Hong Kong. Histotripsy is a non\u2010invasive, non\u2010thermal focused ultrasound technique requiring precise targeting, challenged by respiratory\u2010induced liver motion. High\u2010frequency jet ventilation has been used to minimise motion but carries practical and physiological limitations. All procedures were performed under general anaesthesia with intended double\u2010lumen tube one\u2010lung ventilation. Successful double\u2010lumen tube placement without modification was achieved in 81% of cases; overall, 92% of patients received one\u2010lung ventilation using either double\u2010lumen tube or bronchial blockers. Transient intra\u2010operative desaturation occurred in 29% of one\u2010lung ventilation cases but was managed with standard ventilatory adjustments. Technical success was achieved in 92% of cases. No major airway or respiratory complications or unplanned critical care admissions occurred and all patients were discharged within 2\u2009days postoperatively. These findings suggest that double\u2010lumen tube one\u2010lung ventilation is a feasible and safe alternative to high\u2010frequency jet ventilation for respiratory motion control during hepatic histotripsy, using widely available thoracic anaesthesia techniques. The retrospective design, small sample size and absence of comparator group highlight the need for future prospective trials to evaluate efficacy, safety and cost\u2010effectiveness relative to high\u2010frequency jet ventilation.<\/jats:p>","DOI":"10.1002\/anr3.70092","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T04:47:03Z","timestamp":1784609223000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Airway management and one\u2010lung ventilation strategies during hepatic histotripsy: a retrospective service evaluation from a single institution in Hong Kong"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4653-0085","authenticated-orcid":false,"given":"M. H. 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