改良技术在小儿患者胸腔手术中支气管内阻塞器的放置。
Modified technique for endobronchial blocker placement in pediatric patients undergoing thoracic surgery.
机构信息
Department of Anesthesiology and Perioperative Medicine, Texas Children's Hospital, Baylor College of Medicine, Texas, Houston, USA.
Department of Anesthesiology and Perioperative Medicine, Children's Memorial Hermann Hospital, University of Texas Health Houston McGovern Medical School, Texas, Houston, USA.
出版信息
Paediatr Anaesth. 2023 Sep;33(9):768-770. doi: 10.1111/pan.14697. Epub 2023 Jun 2.
BACKGROUND
One lung ventilation (OLV) in small children can be achieved using an Arndt endobronchial blocker (AEBB), but it presents challenges. OLV during thoracic procedures provides better surgical conditions and postoperative outcomes.
AIM
To report a novel technique to improve placement and repositioning of an extraluminal AEBB for OLV.
MATERIAL AND METHODS
We describe how an angled wire is successfully used for extraluminal AEBB placement in pediatric thoracic procedures.
DISCUSSION
Since 2017, we have successfully used this technic in over 50 infants and toddlers and overcome challenges of the classic OLV in this age group.
CONCLUSIONS
The described technique allows for fast, safe, and reliable OLV while maintaining the ability to reposition the AEBB.
背景
小儿单肺通气（OLV）可使用 Arndt 支气管内阻塞器（AEBB）实现，但存在挑战。OLV 可用于胸科手术，提供更好的手术条件和术后结果。
目的
报告一种改良的经支气管外 AEBB 用于 OLV 的新技术。
材料与方法
我们描述了如何成功地在小儿胸科手术中使用带角度的导丝放置经支气管外 AEBB。
讨论
自 2017 年以来，我们在 50 多名婴儿和幼儿中成功地使用了该技术，克服了该年龄段经典 OLV 的挑战。
结论
所描述的技术允许快速、安全和可靠的 OLV，同时保持重新定位 AEBB 的能力。
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