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[胸外科肺隔离的气道管理:最新进展]

[Airway management for lung separation in thoracic surgery : An update].

作者信息

Meggiolaro K M, Wulf H, Feldmann C, Wiesmann T, Schubert A-K, Risse J

机构信息

FB Medizin, Klinik für Anästhesie und Intensivtherapie, Universitätsklinikum Gießen und Marburg, Standort Marburg, Philipps Universität Marburg, Baldingerstraße, 35032, Marburg, Deutschland.

出版信息

Anaesthesist. 2018 Aug;67(8):555-567. doi: 10.1007/s00101-018-0470-1.

Abstract

One of the main tasks in every anesthetist's routine clinical practice is securing the airway. This also includes techniques for lung isolation and one-lung ventilation in thoracic surgery and in intensive care medicine. The anesthesiologist has various methods available to achieve one-lung ventilation. This article presents the most commonly used methods for lung isolation. These include the double lumen tube, the bronchus blockers by Arndt and Cohen, the EZ blocker, the Uniblocker, the Univent tube and the VivaSight-DL™. The effects of the one-lung ventilation are not described in detail and for this the reader should refer to the appropriate literature. This article is intended to provide an overview of the various possibilities for lung separation, especially for physicians in continued medical education and also for physicians who rarely use these procedures.

摘要

在每位麻醉医生的日常临床实践中,主要任务之一是确保气道安全。这还包括胸外科手术和重症医学中肺隔离及单肺通气的技术。麻醉医生有多种实现单肺通气的方法。本文介绍了最常用的肺隔离方法。这些方法包括双腔管、阿恩特(Arndt)和科恩(Cohen)支气管阻塞器、EZ阻塞器、单阻塞器、单腔支气管导管和VivaSight-DL™。本文未详细描述单肺通气的效果,读者如需了解应查阅相关文献。本文旨在概述肺分离的各种可能性,尤其适用于继续医学教育中的医生以及很少使用这些操作的医生。

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