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床旁肺部超声评估儿童单肺通气期间的肺隔离:一例报告。

Point-of-care lung ultrasound to evaluate lung isolation during one-lung ventilation in children: A case report.

作者信息

Yamaguchi Yoshikazu, Moharir Alok, Burrier Candice, Tobias Joseph D

机构信息

Department of Anesthesiology and Pain Medicine, Nationwide Children's Hospital, Columbus, Ohio, United States.

Department of Anesthesiology, The Ohio State University, Columbus, Ohio, United States.

出版信息

Saudi J Anaesth. 2019 Jul-Sep;13(3):243-245. doi: 10.4103/sja.SJA_115_19.

Abstract

Minimally invasive thoracic surgical techniques require effective lung separation using one-lung ventilation (OLV). Verification of lung isolation may be confirmed by auscultation, visual confirmation using fiberoptic bronchoscopy, or more recently, point-of-care ultrasound (POCUS). We describe anecdotal experience with POCUS to guide OLV during robotic-assisted thoracic surgery in a child. Techniques to confirm thoracic separation are reviewed and potential advantages of POCUS discussed.

摘要

微创胸外科技术需要使用单肺通气(OLV)进行有效的肺隔离。肺隔离的验证可通过听诊、使用纤维支气管镜进行视觉确认,或最近通过床旁超声(POCUS)来证实。我们描述了在儿童机器人辅助胸外科手术中使用POCUS指导OLV的轶事性经验。回顾了确认胸部分离的技术,并讨论了POCUS的潜在优势。

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