{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T01:37:20Z","timestamp":1783993040032,"version":"3.55.0"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,12,10]],"date-time":"2021-12-10T00:00:00Z","timestamp":1639094400000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Anesthesiol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The anesthetist and other members of the perioperative team need to be extremely cautious for successful completion of any surgery. If the final step of any general anesthetic-extubation is not sufficiently well planned, it can lead to critical airway incidents during the extubation and hinder transportation of the patient to the post-anesthesia care unit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>A 48-year-old female underwent video-assisted thoracoscopic surgery (VATS) combined with left lower lobectomy. The distal end of the left branch of the tracheal tube was lodged by surgical sutures. In this case, the respiratory physician burned the sutures using an argon electrode, after discussion with the thoracic surgery experts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Teamwork is essential when caring for a patient with a shared airway. The anesthetist and surgeon must communicate well with each other to achieve optimal surgical outcomes. Importantly, testing the patency of the ETT prior to extubation should be a regular procedure, which is practical significance to guide safe extubation.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12871-021-01512-5","type":"journal-article","created":{"date-parts":[[2021,12,10]],"date-time":"2021-12-10T06:48:09Z","timestamp":1639118889000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Unexpected difficult extubation of double lumen bronchial intubation: a case report"],"prefix":"10.1186","volume":"21","author":[{"given":"Xingcai","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shumiao","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zihui","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3209-8730","authenticated-orcid":false,"given":"Yijun","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,12,10]]},"reference":[{"key":"1512_CR1","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1016\/j.accpm.2021.100846","volume":"40","author":"HH Elsayed","year":"2021","unstructured":"Elsayed HH, Moharram AA. Tailored anaesthesia for thoracoscopic surgery promoting enhanced recovery: The state of the art. Anaesth Crit Care Pain Med. 2021;40:2\u2013100846.","journal-title":"Anaesth Crit Care Pain Med"},{"issue":"4","key":"1512_CR2","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1590\/1806-9282.66.4.452","volume":"66","author":"Y Zheng","year":"2020","unstructured":"Zheng Y, Wang H, Ma X, Cheng Z, Cao W, Shao D. Comparison of the effect of ultrasound-guided thoracic paravertebral nerve block and intercostal nerve block for video-assisted thoracic surgery under spontaneous-ventilating anesthesia. Rev Assoc Med Bras (1992). 2020;66(4):452\u20137.","journal-title":"Rev Assoc Med Bras (1992)"},{"key":"1512_CR3","doi-asserted-by":"crossref","unstructured":"Parotto M, Cooper RM, Behringer EC. Extubation of the challenging or difficult airway. Curr Anesthesiol Rep. 2020;4:1\u20137.","DOI":"10.1007\/s40140-020-00416-3"},{"key":"1512_CR4","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1111\/j.1399-6576.2007.01467.x","volume":"52","author":"J Hulme","year":"2008","unstructured":"Hulme J, Agarwal S. Failure to deflate an endotracheal cuff. Acta Anaesthesiol Scand. 2008;52:5\u2013719.","journal-title":"Acta Anaesthesiol Scand"},{"issue":"2","key":"1512_CR5","doi-asserted-by":"crossref","first-page":"156","DOI":"10.4103\/sja.SJA_741_18","volume":"13","author":"CK Panda","year":"2019","unstructured":"Panda CK, Karim HMR. Too much of anything is bad: An unusual case of a stuck endotracheal tube with deflated cuff. Saudi J Anaesth. 2019;13(2):156\u20137.","journal-title":"Saudi J Anaesth"},{"issue":"7","key":"1512_CR6","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1016\/j.jclinane.2008.10.017","volume":"21","author":"VG Yazbek-Karam","year":"2009","unstructured":"Yazbek-Karam VG, Haswani RW, Karam HS, Haddad WM, Youssef PS, Hachem BF, et al. Unusual case of difficult double-lumen endotracheal tube removal. J Clin Anesth. 2009;21(7):514\u20136.","journal-title":"J Clin Anesth"},{"issue":"4","key":"1512_CR7","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1016\/j.aat.2014.03.004","volume":"52","author":"SL Leong","year":"2014","unstructured":"Leong SL, Lin YT, Hsing CH, Lan KM, Lin MC. Unanticipated difficult nasotracheal extubation following oral surgery. Acta Anaesthesiol Taiwan. 2014;52(4):197\u2013200.","journal-title":"Acta Anaesthesiol Taiwan"},{"issue":"2","key":"1512_CR8","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1053\/jcan.2003.64","volume":"17","author":"D Bradley","year":"2003","unstructured":"Bradley D, Sprung J. An unusual cause of difficult tracheal extubation. J Cardiothorac Vasc Anesth. 2003;17(2):279\u201380.","journal-title":"J Cardiothorac Vasc Anesth"}],"container-title":["BMC Anesthesiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12871-021-01512-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12871-021-01512-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12871-021-01512-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T22:27:43Z","timestamp":1699914463000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcanesthesiol.biomedcentral.com\/articles\/10.1186\/s12871-021-01512-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1512"],"URL":"https:\/\/doi.org\/10.1186\/s12871-021-01512-5","relation":{},"ISSN":["1471-2253"],"issn-type":[{"value":"1471-2253","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12]]},"assertion":[{"value":"23 September 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 November 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 December 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This case report was approved by the Institutional Ethics Committee of Ningbo City First Hospital. The patient had signed the informed consent for this anesthesia procedure.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this article and any accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declared that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"311"}}