Brendle B C, Morgan J A
Abteilung für Anästhesiologie, Lungenklinik Hemer.
Anasthesiol Intensivmed Notfallmed Schmerzther. 1992 Feb;27(1):53-5. doi: 10.1055/s-2007-1000252.
If a patient who has undergone a major resection such as a pneumonectomy or radical pneumonectomy develops during the postoperative period respiratory failure requiring mechanical ventilation, this may cause problems with the respirator treatment. It is of particular interest that the newly sutured bronchus stump can be protected from high ventilation pressures. Until now, patients who have undergone pneumonectomy have been ventilated using a single lumen tube or a double lumen tube (Table 1). A major complication often leading to death is a bronchial stump dehiscence giving rise to a bronchopleural fistula on the operated side due to aggressive mechanical ventilation. Therefore, we developed a new single lumen endobronchial tube (produced by Willy Rüsch AG, W-7050 Waiblingen, Germany, Cat.No. 115900) for the mechanical ventilation of pneumonectomised patients (Fig. 1). The sutured bronchial stump lies between the bronchial and tracheal cuff (Fig. 2) and for that reason is not exposed to any increased ventilation pressure. This new tube contributes to a lower complication rate in mechanically ventilated patients after pneumonectomy.
如果接受了诸如肺切除术或根治性肺切除术等大手术切除的患者在术后出现需要机械通气的呼吸衰竭，这可能会给呼吸治疗带来问题。特别值得关注的是，新缝合的支气管残端可以免受高通气压力的影响。到目前为止，接受肺切除术的患者一直使用单腔管或双腔管进行通气（表1）。由于积极的机械通气，一种经常导致死亡的主要并发症是支气管残端裂开，在手术侧形成支气管胸膜瘘。因此，我们开发了一种新的单腔支气管内导管（由德国魏布林根的威利·吕施股份公司生产，邮编W-7050，产品编号115900）用于肺切除术后患者的机械通气（图1）。缝合的支气管残端位于支气管袖带和气管袖带之间（图2），因此不会受到任何增加的通气压力的影响。这种新导管有助于降低肺切除术后机械通气患者的并发症发生率。
