Vas L, Naregal F, Nobre S, Dongre H
Bai Jerbai Wadia Hospital for Children, Acharya Donde Marg, Parel, Bombay 400 012, India.
Paediatr Anaesth. 2000;10(2):210-4. doi: 10.1046/j.1460-9592.2000.00474.x.
The anaesthetic management of a left pneumonectomy in a 18-month-old girl with a bronchopleural fistula is described. An ordinary tracheal tube was slit at the bevel to ensure upper lobe ventilation on right endobronchial intubation. A combination of a bronchial blocker, endobronchial intubation with a slit tube, and nerve blocks for these manoeuvres was used. Pain relief by a thoracic epidural block ensured good physiotherapy and a comfortable postoperative period.
描述了一名患有支气管胸膜瘘的18个月大女孩行左肺切除术的麻醉管理。将一根普通气管导管在斜面处切开，以确保在右主支气管插管时上叶通气。采用了支气管封堵器、带切口导管的主支气管插管以及用于这些操作的神经阻滞相结合的方法。胸段硬膜外阻滞缓解疼痛确保了良好的物理治疗和舒适的术后恢复。
