Cohen David E, McCloskey John J, Motas Dominika, Archer John, Flake Alan W
Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Paediatr Anaesth. 2011 Jun;21(6):681-4. doi: 10.1111/j.1460-9592.2011.03585.x. Epub 2011 Apr 14.
Review our institutional experience with an alternative to fiberoptic-guided endobronchial intubation.
The aim of this retrospective cohort study was to present our experience with the use of fluoroscopy to facilitate endobronchial lung isolation in infants undergoing thoracoscopic procedures.
Anesthesiologists are more frequently being asked to anesthetize infants and small children for thoracoscopic surgery. Typically, endobronchial intubation or bronchial blockers are utilized to achieve lung isolation during these procedures. However, sometimes small and complicated anatomy can make this challenging.
Respective chart review over a 13-month period of infants undergoing thoracoscopic excision of congenital lung lesions at the Children's Hospital of Philadelphia. Rate of success in achieving lung isolation along with time of fluoroscopy exposure were recorded.
Twenty infants had thoracoscopic lung surgery attempted during the period of the review. Lung isolation was successfully achieved in all of the patients. The average exposure to fluoroscopy was 83.7 s (range 20-320 s).
Fluoroscopic aided lung isolation is a reliable and effective alternative method to the use of fiberoptic bronchoscope for endobronchial intubation in infants.
回顾我们机构使用纤维支气管镜引导支气管内插管替代方法的经验。
这项回顾性队列研究的目的是介绍我们在接受胸腔镜手术的婴儿中使用荧光透视辅助进行支气管内肺隔离的经验。
麻醉医生越来越频繁地被要求为婴儿和幼儿进行胸腔镜手术麻醉。通常，在这些手术中使用支气管内插管或支气管封堵器来实现肺隔离。然而，有时微小且复杂的解剖结构会使这具有挑战性。
对费城儿童医院13个月期间接受先天性肺部病变胸腔镜切除手术的婴儿病历进行回顾。记录实现肺隔离的成功率以及荧光透视暴露时间。
在回顾期间，20名婴儿尝试进行胸腔镜肺手术。所有患者均成功实现肺隔离。荧光透视的平均暴露时间为83.7秒（范围为20 - 320秒）。
荧光透视辅助肺隔离是婴儿支气管内插管使用纤维支气管镜的一种可靠且有效的替代方法。
