Fujiwara Chieko, Sato Yuki, Shoji Kazuhiro, Onozawa Hiroshi, Takinami Masanori, Kamide Masayuki, Tanifuji Yasumasa
Department of Anesthesiology, Jikei University, School of Medicine, Tokyo 105-8461.
Masui. 2002 Aug;51(8):875-9.
We experienced one-lung anesthesia using Fogarty catheter as a selective bronchial blocker in two infants. First case was a one-year and ten month-old female who underwent partial resection of the right middle lobe for her giant lung cyst under general anesthesia. Second case was an eight-month-old male who underwent thoracoscopic resection of his left mediastinal tumor under general anesthesia. One-lung anesthesia was successfully established with Fogarty catheters for both cases. Size of the catheter and its balloon was decided beforehand by measuring the diameter and length of the trachea and both bronchi based on the image obtained from computerized tomography (CT) in both cases. Therefore, surgical field was well visible during operation. There was no accidental episode in perioperative period. Bronchoscopy with ultra-thin fiberscope and X-ray fluoroscopy is useful to decide the position of Fogarty catheter and its balloon. Our means is recommendable for maintenance of one-lung anesthesia in infant.
我们在两名婴儿中使用Fogarty导管作为选择性支气管阻塞器进行了单肺麻醉。第一例是一名1岁10个月大的女性，在全身麻醉下接受了右中叶巨大肺囊肿的部分切除术。第二例是一名8个月大的男性，在全身麻醉下接受了左纵隔肿瘤的胸腔镜切除术。两例均通过Fogarty导管成功建立了单肺麻醉。在这两例中，均根据计算机断层扫描（CT）图像测量气管和双侧支气管的直径和长度，预先确定导管及其球囊的尺寸。因此，手术过程中手术视野清晰可见。围手术期未发生意外事件。使用超薄纤维支气管镜和X线透视进行支气管镜检查有助于确定Fogarty导管及其球囊的位置。我们的方法对于维持婴儿的单肺麻醉是值得推荐的。
