• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

双腔支气管导管的放置。临床印象与支气管镜检查结果之间的相关性。

Placement of double-lumen endobronchial tubes. Correlation between clinical impressions and bronchoscopic findings.

作者信息

Smith G B, Hirsch N P, Ehrenwerth J

出版信息

Br J Anaesth. 1986 Nov;58(11):1317-20. doi: 10.1093/bja/58.11.1317.

DOI:10.1093/bja/58.11.1317
PMID:3778796
Abstract

Double-lumen endobronchial tubes were placed "blindly" in 23 patients undergoing thoracotomy. Clinical criteria suggested satisfactory positioning in all cases; however, subsequent fibreoptic bronchoscopy revealed malposition in 48%. Bronchoscopic findings included the inability to view the bronchial cuff, narrowing of the bronchial lumen of the tube at the level of the cuff and herniation of the cuff over the carina. The potential hazards associated with these findings are discussed.

摘要

23例开胸手术患者“盲目”插入双腔支气管导管。临床标准提示所有病例定位均满意；然而，随后的纤维支气管镜检查显示48%存在位置不当。支气管镜检查结果包括无法看到支气管套囊、套囊水平处导管支气管腔变窄以及套囊疝入隆突上方。讨论了与这些发现相关的潜在风险。

相似文献

1
Placement of double-lumen endobronchial tubes. Correlation between clinical impressions and bronchoscopic findings.双腔支气管导管的放置。临床印象与支气管镜检查结果之间的相关性。
Br J Anaesth. 1986 Nov;58(11):1317-20. doi: 10.1093/bja/58.11.1317.
2
Is flexible bronchoscopy necessary to confirm the position of double-lumen tubes before thoracic surgery?在胸外科手术前，是否有必要通过纤维支气管镜来确认双腔管的位置？
Eur J Cardiothorac Surg. 2011 Oct;40(4):912-6. doi: 10.1016/j.ejcts.2011.01.070. Epub 2011 Jul 29.
3
A quality improvement study of the placement and complications of double-lumen endobronchial tubes.
J Cardiothorac Vasc Anesth. 1993 Oct;7(5):517-20. doi: 10.1016/1053-0770(93)90305-5.
4
The effects of endobronchial cuff inflation on double-lumen endobronchial tube movement after lateral decubitus positioning.侧卧位后支气管内套囊充气对双腔支气管导管移动的影响。
J Cardiothorac Vasc Anesth. 1997 Aug;11(5):595-8. doi: 10.1016/s1053-0770(97)90011-2.
5
A Randomized Controlled Study of the Use of Video Double-Lumen Endobronchial Tubes Versus Double-Lumen Endobronchial Tubes in Thoracic Surgery.胸腔手术中使用视频双腔支气管导管与双腔支气管导管的随机对照研究。
J Cardiothorac Vasc Anesth. 2018 Feb;32(1):267-274. doi: 10.1053/j.jvca.2017.05.016. Epub 2017 May 9.
6
Continuous spirometry for detection of double-lumen endobronchial tube displacement.持续肺量计用于检测双腔支气管导管移位
Br J Anaesth. 1993 May;70(5):499-502. doi: 10.1093/bja/70.5.499.
7
Fibreoptic bronchoscopy for tracheal and endobronchial intubation with a double-lumen tube.纤维支气管镜引导双腔气管导管行气管和支气管内插管术
Can J Anaesth. 1987 Mar;34(2):172-3. doi: 10.1007/BF03015340.
8
"Blind" placement of plastic left double-lumen tubes.塑料左双腔管的“盲插”放置
Anaesth Intensive Care. 1995 Oct;23(5):583-6. doi: 10.1177/0310057X9502300509.
9
Incidence of malposition of polyvinylchloride and red rubber left-sided double-lumen tubes and clinical sequelae.聚氯乙烯和红色橡胶左侧双腔管位置不当的发生率及临床后果。
J Cardiothorac Vasc Anesth. 1995 Apr;9(2):122-7. doi: 10.1016/S1053-0770(05)80181-8.
10
Fiberoptic bronchoscopic positioning of double-lumen tubes.双腔管的纤维支气管镜定位
J Cardiothorac Anesth. 1989 Aug;3(4):486-96. doi: 10.1016/s0888-6296(89)97987-8.

引用本文的文献

1
Preoperative lung ultrasound for confirming the double-lumen endotracheal tube position for one-lung ventilation: A systematic review and meta-analysis.术前肺部超声用于确认单肺通气时双腔气管导管位置：一项系统评价和荟萃分析。
Heliyon. 2023 Apr 13;9(4):e15458. doi: 10.1016/j.heliyon.2023.e15458. eCollection 2023 Apr.
2
Lung ultrasound is non-inferior to bronchoscopy for confirmation of double-lumen endotracheal tube positioning: a randomized controlled noninferiority study.肺超声与支气管镜检查用于确认双腔气管内导管定位的非劣效性比较：一项随机对照非劣效性研究。
BMC Anesthesiol. 2022 May 30;22(1):168. doi: 10.1186/s12871-022-01707-4.
3
Combined use of a Total Control Introducer and a hyperangulated video laryngoscope to place a left-sided double lumen endotracheal tube in a patient with a history of difficult laryngoscopy.
在有困难喉镜检查史的患者中，使用总控制型插管器和超角度可视喉镜来放置左侧双腔支气管内管。
BMJ Case Rep. 2021 Oct 8;14(10):e243407. doi: 10.1136/bcr-2021-243407.
4
Lung sonography can improve the specificity of determination of left-sided double-lumen tracheal tube position in both novices and experts: a randomised prospective study.肺部超声可提高新手和专家确定左侧双腔气管导管位置的特异性：一项随机前瞻性研究。
J Int Med Res. 2020 Oct;48(10):300060520964369. doi: 10.1177/0300060520964369.
5
A Randomized Controlled Trial Comparing Novel Triple-Cuffed Double-Lumen Endobronchial Tubes with Conventional Double-Lumen Endobronchial Tubes for Lung Isolation.一项比较新型三腔双腔支气管内导管与传统双腔支气管内导管用于肺隔离的随机对照试验。
J Clin Med. 2020 Apr 1;9(4):977. doi: 10.3390/jcm9040977.
6
'Fibreoptic in Tracheal Lumen' (FIT) technique: A novel real-time double-lumen tube placement technique with fiberoptic bronchoscope.
Saudi J Anaesth. 2019 Oct-Dec;13(4):388-389. doi: 10.4103/sja.SJA_821_18.
7
The use of ETView endotracheal tube for surveillance after tube positioning in patients undergoing lobectomy, randomized trial.在接受肺叶切除术的患者中，使用ETView气管导管进行导管定位后的监测，随机试验。
Medicine (Baltimore). 2018 Dec;97(49):e13170. doi: 10.1097/MD.0000000000013170.
8
A prospective randomized controlled double-blind study comparing auscultation and lung ultrasonography in the assessment of double lumen tube position in elective thoracic surgeries involving one lung ventilation at a tertiary care cancer institute.前瞻性随机对照双盲研究比较听诊法和肺部超声在评估涉及单肺通气的择期胸外科手术中双腔管位置的应用，该研究在一家三级癌症研究所进行。
Korean J Anesthesiol. 2019 Feb;72(1):24-31. doi: 10.4097/kja.d.17.00081. Epub 2018 Sep 12.
9
Point-of-care ultrasound versus auscultation in determining the position of double-lumen tube.即时超声检查与听诊在确定双腔管位置方面的比较
Medicine (Baltimore). 2018 Mar;97(13):e9311. doi: 10.1097/MD.0000000000009311.
10
A simple blind placement of the left-sided double-lumen tubes.左侧双腔管的简单盲插法。
Medicine (Baltimore). 2016 Nov;95(45):e5376. doi: 10.1097/MD.0000000000005376.