Cohen Edmond
Department of Anesthesiology, Mount Sinai Medical Center, New York, NY 10029, USA.
Curr Opin Anaesthesiol. 2004 Feb;17(1):1-6. doi: 10.1097/00001503-200402000-00002.
This review is part of Pro and Contra use of fiberoptic bronchoscopy to confirm the position of a double lumen tube. The purpose of this review is to highlight the circumstances where fiberoptic bronchoscopy should be used in conjunction with lung separation, right sided double-lumen tube positioning, and to identify fine malposition for generally missed by clinical signs.
Until several years ago, confirmation of a double-lumen tube (DLT) position was limited to inspection and auscultation. Fiberoptic bronchoscopes were usually only available in the bronchoscope suite for the exclusive use of the pulmonary personnel. Today, in most institutions, fiberoptic bronchoscopes of different diameters are available in the operating room for use by the anesthesia personnel.
Advances in technology and improved quality of the endoscopes image make the technique easy to use with a relatively simple learning curve. In fact, fiberoptic workshops, thoracic workshops and difficult airway workshops are offered in nearly all important anesthesia meetings.
本综述是关于纤维支气管镜在双腔气管导管位置确认中的利弊的一部分。本综述的目的是强调在肺隔离、右侧双腔气管导管定位时应结合使用纤维支气管镜的情况，并识别临床体征通常易遗漏的细微位置不当。
直到几年前，双腔气管导管（DLT）位置的确认仅限于检查和听诊。纤维支气管镜通常仅在支气管镜检查室供肺部专业人员专用。如今，在大多数机构中，手术室配备了不同直径的纤维支气管镜供麻醉人员使用。
技术进步和内镜图像质量的提高使得该技术易于使用，学习曲线相对简单。事实上，几乎所有重要的麻醉会议都设有纤维支气管镜操作培训、胸科操作培训和困难气道处理培训。
