{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T17:55:40Z","timestamp":1781718940735,"version":"3.54.5"},"reference-count":62,"publisher":"American Veterinary Medical Association (AVMA)","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["javma"],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To report on placement and perioperative outcomes associated with one-lung ventilation (OLV) devices utilized in dogs undergoing thoracoscopic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This multi-institutional retrospective study included dogs undergoing OLV for elective thoracoscopic surgery between January 2013 and December 2023. Patient data, OLV technique, surgical and anesthetic complications, and perioperative blood gases were recorded. Success of OLV was defined as sustained collapse of the intended lung. Complications were graded from 1 (mild) to 5 (death or euthanasia).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>93 dogs (47 female, 46 male) were included. The median age was 9.5 years (range, 0.08 to 14.7 years) and median weight was 26.8 kg (range, 2.5 to 62.8 kg). Devices used for OLV included endobronchial blockers (n = 71), double-lumen tubes (15), selective intubation with an endotracheal tube (1), or unspecified (6). One-lung ventilation was successful in 90 dogs. Conversion to an open approach occurred in 23 cases and was secondary to complications of OLV in 4 cases. Grade 2 (moderate) and 3 (severe) hypercapnia were recorded in 62 of 93 dogs and 11 of 93 dogs, respectively. Grade 2 and 3 hypoxemia were recorded in 10 of 93 dogs and 6 of 93 dogs, respectively. Dogs with left bronchus blockade had significantly lower odds of grade 2 hypoxemia compared to dogs with right bronchus blockade.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>OLV was successful in most cases. Intraoperative hypercapnia and hypoxemia were commonly reported, but rarely led to conversion and typically resolved postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>OLV is a well-tolerated technique in dogs undergoing thoracoscopic procedures with excellent short-term outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2460\/javma.25.11.0750","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T17:22:34Z","timestamp":1773854554000},"page":"1-7","source":"Crossref","is-referenced-by-count":0,"title":["One-lung ventilation is well tolerated in dogs undergoing thoracoscopic surgery irrespective of device or side of lung blocked"],"prefix":"10.2460","volume":"264","author":[{"given":"Andrea N.","family":"Mastorakis","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences and Advanced Medicine, Matthew J. Ryan Veterinary Hospital, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3785-7791","authenticated-orcid":true,"given":"Erin A.","family":"Gibson","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences and Advanced Medicine, Matthew J. Ryan Veterinary Hospital, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7727-7647","authenticated-orcid":true,"given":"Ciara A.","family":"Barr","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences and Advanced Medicine, Matthew J. Ryan Veterinary Hospital, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darko","family":"Stefanovski","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies- New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcela L.","family":"Machado","sequence":"additional","affiliation":[{"name":"Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joao H. N.","family":"Soares","sequence":"additional","affiliation":[{"name":"Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp D.","family":"Mayhew","sequence":"additional","affiliation":[{"name":"Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amandeep","family":"Chohan","sequence":"additional","affiliation":[{"name":"Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholle","family":"Ross","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Veterinary Teaching Hospital, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah J.","family":"Marvel","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Veterinary Teaching Hospital, College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cormac","family":"McCarthy-Hann","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Sanchez","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8095-9339","authenticated-orcid":true,"given":"Ameet","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany","family":"Sanders","sequence":"additional","affiliation":[{"name":"Veterinary Specialty Hospital\u2013North County, San Marcos, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Thomson","sequence":"additional","affiliation":[{"name":"Veterinary Specialty Hospital\u2013North County, San Marcos, CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassie","family":"Blajszczak","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4623-3582","authenticated-orcid":true,"given":"Nicole","family":"Buote","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1272","reference":[{"issue":"6","key":"ref1","series-title":"Tumori.","first-page":"495","article-title":"One-lung ventilation for thoracic surgery: current perspectives","volume":"103","author":"Bernasconi F","year":"2017","unstructured":"Bernasconi F, Piccioni F. One-lung ventilation for thoracic surgery: current perspectives. Tumori. 2017;103(6):495-503. doi:10.5301\/tj.5000638"},{"issue":"5","key":"ref2","series-title":"Anesth Analg.","first-page":"1389","article-title":"An update on one-lung ventilation in children","volume":"132","author":"Templeton TW","year":"2021","unstructured":"Templeton TW, Piccioni F, Chatterjee D. An update on one-lung ventilation in children. Anesth Analg. 2021;132(5):1389-1399. doi:10.1213\/ANE.0000000000005077"},{"issue":"10","key":"ref3","series-title":"J Am Vet Med Assoc.","first-page":"1","article-title":"Thoracoscopic removal of cranial mediastinal masses in dogs is associated with a low conversion rate, excellent survival to discharge, and good long-term outcome","volume":"262","author":"Carroll KA","year":"2024","unstructured":"Carroll KA, Mayhew PD, Culp WTN,  Thoracoscopic removal of cranial mediastinal masses in dogs is associated with a low conversion rate, excellent survival to discharge, and good long-term outcome. J Am Vet Med Assoc. 2024;262(10):1-8. doi:10.2460\/javma.23.12.0679"},{"issue":"5","key":"ref4","series-title":"J Am Vet Med Assoc.","first-page":"674","article-title":"Thoracoscopic resection of lung masses is associated with excellent survival to discharge and good long-term outcomes","volume":"262","author":"Park K","year":"2024","unstructured":"Park K, Mayhew PD, Massari F,  Thoracoscopic resection of lung masses is associated with excellent survival to discharge and good long-term outcomes. J Am Vet Med Assoc. 2024;262(5):674-679. doi:10.2460\/javma.23.10.0595"},{"issue":"8","key":"ref5","series-title":"Vet Surg.","first-page":"1029","article-title":"Thoracoscopic lung lobectomy for primary lung tumors in 13 dogs","volume":"44","author":"Bleakley S","year":"2015","unstructured":"Bleakley S, Duncan CG, Monnet E. Thoracoscopic lung lobectomy for primary lung tumors in 13 dogs. Vet Surg. 2015;44(8):1029-1035. doi:10.1111\/vsu.12411"},{"issue":"suppl 1","key":"ref6","series-title":"Vet Surg.","first-page":"O107","article-title":"Thoracoscopic treatment of persistent right aortic arch in dogs with and without one lung ventilation","volume":"51","author":"Marvel SJ","year":"2022","unstructured":"Marvel SJ, Hafez A, Monnet E. Thoracoscopic treatment of persistent right aortic arch in dogs with and without one lung ventilation. Vet Surg. 2022;51(suppl 1):O107-O117. doi:10.1111\/vsu.13717"},{"issue":"1","key":"ref7","series-title":"Int Anesthesiol Clin.","first-page":"88","article-title":"One-lung ventilation and acute lung injury","volume":"56","author":"Bender SP","year":"2018","unstructured":"Bender SP, Anderson EP, Hieronimus RI, Bensimhon A. One-lung ventilation and acute lung injury. 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Chest. 2011;139(3):530-537. doi:10.1378\/chest.09-2293"},{"key":"ref10","series-title":"Small Animal Laparoscopy and Thoracoscopy","first-page":"309","article-title":"Anesthesia for thoracoscopy","author":"Pascoe PJ","year":"2022","unstructured":"Pascoe PJ, Mayhew PD. Anesthesia for thoracoscopy. In: Fransson BA, Mayhew PD, eds. Small Animal Laparoscopy and Thoracoscopy. 2nd ed. Wiley; 2022:309\u2013327. doi:10.1002\/9781119666912.ch27"},{"key":"ref11","series-title":"Small Animal Laparoscopy and Thoracoscopy","author":"Fransson BA","year":"2022","unstructured":"Fransson BA, Mayhew PD, eds. Small Animal Laparoscopy and Thoracoscopy. 2nd ed. Wiley; 2022. doi:10.1002\/9781119666912"},{"issue":"suppl 1","key":"ref12","series-title":"Vet Surg.","first-page":"O93","article-title":"Cadaveric evaluation of fluoroscopy-assisted placement of one-lung ventilation devices for video-assisted thoracoscopic surgery in dogs","volume":"49","author":"Mayhew PD","year":"2020","unstructured":"Mayhew PD, Chohan A, Hardy BT,  Cadaveric evaluation of fluoroscopy-assisted placement of one-lung ventilation devices for video-assisted thoracoscopic surgery in dogs. Vet Surg. 2020;49(suppl 1):O93-O101. doi:10.1111\/vsu.13331"},{"issue":"10","key":"ref13","series-title":"Can Vet J.","first-page":"1135","article-title":"One-lung ventilation using a wire-guided endobronchial blocker for thoracoscopic pericardial fenestration in a dog","volume":"51","author":"Bauquier SH","year":"2010","unstructured":"Bauquier SH, Culp WTN, Lin RC, Larenza MP. One-lung ventilation using a wire-guided endobronchial blocker for thoracoscopic pericardial fenestration in a dog. Can Vet J. 2010;51(10):1135-1138."},{"issue":"8","key":"ref14","series-title":"Vet Surg.","first-page":"961","article-title":"Thoracoscopic subphrenic pericardectomy using double-lumen endobronchial intubation for alternating one-lung ventilation","volume":"38","author":"Mayhew KN","year":"2009","unstructured":"Mayhew KN, Mayhew PD, Sorrell-Raschi L, Brown DC. Thoracoscopic subphrenic pericardectomy using double-lumen endobronchial intubation for alternating one-lung ventilation. Vet Surg. 2009;38(8):961-966. doi:10.1111\/j.1532-950X.2009.00583.x"},{"issue":"2","key":"ref15","series-title":"Open Vet J.","first-page":"212","article-title":"One-lung ventilation with use of a double lumen tube in two dogs; when right might be wrong","volume":"8","author":"White DM","year":"2018","unstructured":"White DM, Mair AR, Martinez-Taboada F. One-lung ventilation with use of a double lumen tube in two dogs; when right might be wrong. Open Vet J. 2018;8(2):212-218. doi:10.4314\/ovj.v8i2.17"},{"issue":"6","key":"ref16","series-title":"Vet Surg.","first-page":"664","article-title":"Evaluation of blind thoracoscopic-assisted placement of three double-lumen endobronchial tube designs for one-lung ventilation in dogs","volume":"41","author":"Mayhew PD","year":"2012","unstructured":"Mayhew PD, Culp WTN, Pascoe PJ, Kass PH, Johnson LR. Evaluation of blind thoracoscopic-assisted placement of three double-lumen endobronchial tube designs for one-lung ventilation in dogs. Vet Surg. 2012;41(6):664-670. doi:10.1111\/j.1532-950X.2011.00979.x"},{"issue":"6","key":"ref17","series-title":"Am J Vet Res.","first-page":"973","article-title":"Cardiopulmonary changes induced during one-lung ventilation in anesthetized dogs with a closed thoracic cavity","volume":"66","author":"Riquelme M","year":"2005","unstructured":"Riquelme M, Monnet E, Kudnig ST,  Cardiopulmonary changes induced during one-lung ventilation in anesthetized dogs with a closed thoracic cavity. Am J Vet Res. 2005;66(6):973-977. doi:10.2460\/ajvr.2005.66.973"},{"issue":"4","key":"ref18","series-title":"Am J Vet Res.","first-page":"443","article-title":"Effect of one-lung ventilation on oxygen delivery in anesthetized dogs with an open thoracic cavity","volume":"64","author":"Kudnig ST","year":"2003","unstructured":"Kudnig ST, Monnet E, Riquelme M, Gaynor JS, Corliss D, Salman MD. Effect of one-lung ventilation on oxygen delivery in anesthetized dogs with an open thoracic cavity. 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Lung injury after one-lung ventilation: a review of the pathophysiologic mechanisms affecting the ventilated and collapsed lung. Anesth Analg. 2015;121(2):302-318. doi:10.1213\/ANE.0000000000000808"},{"issue":"6","key":"ref1","series-title":"Tumori.","first-page":"495","article-title":"One-lung ventilation for thoracic surgery: current perspectives","volume":"103","author":"Bernasconi F","year":"2017","unstructured":"Bernasconi F, Piccioni F. One-lung ventilation for thoracic surgery: current perspectives. Tumori. 2017;103(6):495-503. doi:10.5301\/tj.5000638"},{"issue":"5","key":"ref2","series-title":"Anesth Analg.","first-page":"1389","article-title":"An update on one-lung ventilation in children","volume":"132","author":"Templeton TW","year":"2021","unstructured":"Templeton TW, Piccioni F, Chatterjee D. An update on one-lung ventilation in children. 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