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胸科麻醉的当前实践问题

Current Practice Issues in Thoracic Anesthesia.

作者信息

Cohen Edmond

机构信息

From the Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.

出版信息

Anesth Analg. 2021 Dec 1;133(6):1520-1531. doi: 10.1213/ANE.0000000000005707.

Abstract

This review discusses the present strategies in lung separation, the various types of double-lumen tubes (DLTs), and the use of bronchial blockers (BBs). Methods of selecting the correct DLT size and the role of videolaryngoscopy in placing a DLT are reviewed. Mechanisms whereby inhaled anesthetics may be protective during one-lung ventilation (OLV) are highlighted. The risk and prevention of fire during thoracic procedures are discussed.

摘要

本综述讨论了肺隔离的当前策略、各种类型的双腔气管导管(DLT)以及支气管封堵器(BB)的应用。回顾了选择正确DLT尺寸的方法以及视频喉镜在放置DLT中的作用。重点介绍了吸入麻醉药在单肺通气(OLV)期间可能具有保护作用的机制。讨论了胸部手术期间火灾的风险及预防措施。

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