Loop Torsten, Spaeth Johannes
Anasthesiol Intensivmed Notfallmed Schmerzther. 2018 Mar;53(3):174-185. doi: 10.1055/s-0043-114678. Epub 2018 Mar 19.
Lung separation and isolation with accomplished one-lung ventilation plays a key role in the airway management for thoracic surgery. Spectrum of indication contains thoracic surgery, procedure- and patient-dependent factors. Usually lung isolation is achieved with a double-lumen tube or a bronchial blocker. Knowledge in tracheobronchial anatomy is routinely requested for anesthesiologists just as the standard use of flexible fibreoptic bronchoscope. This review would give an overview and discussion about the airway management in patients during thoracic anesthesia with double-lumen tubes and recommendations for the clinical routine.
肺隔离与成功的单肺通气在胸外科气道管理中起着关键作用。适应证范围包括胸外科手术、与手术操作及患者相关的因素。通常采用双腔管或支气管封堵器来实现肺隔离。麻醉医生需要熟知气管支气管解剖结构,如同熟练使用可弯曲纤维支气管镜一样。本综述将概述和讨论在胸段麻醉期间使用双腔管对患者进行气道管理的情况,并给出临床常规操作的建议。