Yamaguchi Yoshikazu, Moharir Alok, Burrier Candice, Tobias Joseph D
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.
Saudi J Anaesth. 2019 Jul-Sep;13(3):243-245. doi: 10.4103/sja.SJA_115_19.
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.
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。
