Cohen Edmond
From the Department of Anesthesiology, Perioperative and Pain Medicine, Icahn School of Medicine at Mount Sinai, New York, New York.
Anesth Analg. 2021 Dec 1;133(6):1520-1531. doi: 10.1213/ANE.0000000000005707.
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.
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。
