{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:33:28Z","timestamp":1787067208086,"version":"build-2736575974"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T00:00:00Z","timestamp":1707782400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T00:00:00Z","timestamp":1707782400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["JA Clin Rep"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Mediastinoscopic surgery for esophageal cancer facilitates early postoperative recovery. However, it can occasionally cause serious complications. Here, we present the case of a patient with a tracheal injury diagnosed by a sudden increase in end-tidal carbon dioxide (EtCO\n                      <jats:sub>2<\/jats:sub>\n                      ) during mediastinoscopic subtotal esophagectomy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>\n                      A 52-year-old man diagnosed with esophageal cancer was scheduled to undergo mediastinoscopic subtotal esophagectomy. During the mediastinoscopic procedure, the EtCO\n                      <jats:sub>2<\/jats:sub>\n                      level suddenly increased above 200\u00a0mmHg, and the blood pressure dropped below 80\u00a0mmHg. We immediately asked the operator to stop insufflation and found a tracheal injury on the right side of the trachea near the carina by bronchoscopy. The endotracheal tube was replaced with a double-lumen tube, and the trachea was repaired via right thoracotomy. There were no further intraoperative complications. After surgery, the patient was extubated and admitted to the intensive care unit.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Monitoring EtCO\n                      <jats:sub>2<\/jats:sub>\n                      levels and close communication with the operator is important for safely managing sudden tracheal injury during mediastinoscopic esophagectomy.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s40981-024-00695-3","type":"journal-article","created":{"date-parts":[[2024,2,13]],"date-time":"2024-02-13T00:02:09Z","timestamp":1707782529000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Tracheal injury diagnosed by a sudden increase in end-tidal carbon dioxide levels during mediastinoscopic subtotal esophagectomy: a case report"],"prefix":"10.1186","volume":"10","author":[{"given":"Natsuho","family":"Haraguchi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-4336-7723","authenticated-orcid":false,"given":"Yoshifumi","family":"Naito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayuki","family":"Shibasaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teiji","family":"Sawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,2,13]]},"reference":[{"key":"695_CR1","doi-asserted-by":"publisher","first-page":"125","DOI":"10.21037\/jovs.2016.07.08","volume":"2","author":"H Fujiwara","year":"2016","unstructured":"Fujiwara H, Shiozaki A, Konishi H, Otsuji E. Mediastinoscope and laparoscope-assisted esophagectomy. J Vis Surg. 2016;2:125.","journal-title":"J Vis Surg"},{"key":"695_CR2","doi-asserted-by":"publisher","first-page":"5186","DOI":"10.1007\/s00464-020-08012-6","volume":"35","author":"H Daiko","year":"2021","unstructured":"Daiko H, Oguma J, Fujiwara H, Ishiyama K, Kurita D, Sato T, Sato K, et al. Novel universally applicable technique for performing bilateral transcervical mediastinoscopic-assisted transhiatal laparoscopic esophagectomy: a truly minimally invasive procedure. Surg Endosc. 2021;35:5186\u201392.","journal-title":"Surg Endosc"},{"key":"695_CR3","doi-asserted-by":"publisher","first-page":"633","DOI":"10.1093\/bja\/86.5.633","volume":"86","author":"S Tandon","year":"2001","unstructured":"Tandon S, Batchelor A, Bullock R, Gascoigne A, Griffin M, Hayes N, et al. Peri-operative risk factors for acute lung injury after elective oesophagectomy. 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Shanghai Chest. 2021;5. doi: https:\/\/doi.org\/10.21037\/shc-21-20","DOI":"10.21037\/shc-21-20"},{"key":"695_CR7","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1093\/bjaceaccp\/mkl057","volume":"7","author":"A Ahmed-Nusrath","year":"2007","unstructured":"Ahmed-Nusrath A, Swanevelder J. Anaesthesia for mediastinoscopy. Continuing Education in Anaesthesia Critical Care & Pain. 2007;7:6\u20139.","journal-title":"Continuing Education in Anaesthesia Critical Care & Pain"},{"key":"695_CR8","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/S0379-0738(98)00112-1","volume":"96","author":"T Watanabe","year":"1998","unstructured":"Watanabe T, Morita M. Asphyxia due to oxygen deficiency by gaseous substances. Forensic Sci Int. 1998;96:47\u201359.","journal-title":"Forensic Sci Int"},{"key":"695_CR9","doi-asserted-by":"publisher","first-page":"2","DOI":"10.23907\/2018.001","volume":"8","author":"CM Milroy","year":"2018","unstructured":"Milroy CM. Deaths from environmental hypoxia and raised carbon dioxide. Acad Forensic Pathol. 2018;8:2\u20137.","journal-title":"Acad Forensic Pathol"},{"key":"695_CR10","doi-asserted-by":"publisher","first-page":"345","DOI":"10.1097\/00000542-197410000-00006","volume":"41","author":"DJ Cullen","year":"1974","unstructured":"Cullen DJ, Eger EI 2nd. Cardiovascular effects of carbon dioxide in man. Anesthesiology. 1974;41:345\u20139.","journal-title":"Anesthesiology"},{"key":"695_CR11","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1016\/0379-0738(89)90240-5","volume":"41","author":"N Ikeda","year":"1989","unstructured":"Ikeda N, Takahashi H, Umetsu K, Suzuki T. The course of respiration and circulation in death by carbon dioxide poisoning. 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J Surg Oncol. 2014;109:804\u20137.","journal-title":"J Surg Oncol"}],"container-title":["JA Clinical Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-024-00695-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40981-024-00695-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-024-00695-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,17]],"date-time":"2024-02-17T09:07:13Z","timestamp":1708160833000},"score":1,"resource":{"primary":{"URL":"https:\/\/jaclinicalreports.springeropen.com\/articles\/10.1186\/s40981-024-00695-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,13]]},"references-count":15,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["695"],"URL":"https:\/\/doi.org\/10.1186\/s40981-024-00695-3","relation":{},"ISSN":["2363-9024"],"issn-type":[{"value":"2363-9024","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,13]]},"assertion":[{"value":"21 January 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"31 January 2024","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 February 2024","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 February 2024","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","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 case report.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"11"}}