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使用双侧支气管阻塞器进行差异肺通气,用于机器人支气管镜引导下的标记以及随后的双侧肺楔形切除术和肺叶切除术。

Using a Double-Sided Bronchial Blocker for Differential Lung Ventilation for Robotic Bronchoscopy-Guided Marking and Subsequent Bilateral Lung Wedge Resections and Lobectomy.

作者信息

Dixon Brett, Cohler Samuel, DeGrauw Jeffery, Hafen Ryan

机构信息

Kirk Kerkorian School of Medicine, University of Nevada, Las Vegas, Las Vegas, USA.

Anesthesiology, HCA Sunrise Health GME Consortium, Las Vegas, USA.

出版信息

Cureus. 2024 Oct 4;16(10):e70824. doi: 10.7759/cureus.70824. eCollection 2024 Oct.

Abstract

One-lung ventilation presents unique challenges for the anesthesiologist. We present a case where the patient underwent robotic bronchoscopy to mark the lesion locations before bilateral wedge resections and a unilateral lobectomy. An 8.5 mm endotracheal tube was used to facilitate the robotic bronchoscopy. Subsequently, an EZ-Blocker double-sided bronchial blocker was placed to selectively isolate each lung during different phases of the procedure. This clinical situation required specific equipment, rather than a traditional double-lumen tube or a one-sided bronchial blocker, to efficiently manage the patient.

摘要

单肺通气给麻醉医生带来了独特的挑战。我们呈现一个病例,该患者在进行双侧楔形切除术和单侧肺叶切除术之前,接受了机器人支气管镜检查以标记病变位置。使用了一根8.5毫米的气管导管以方便进行机器人支气管镜检查。随后,放置了一个EZ-Blocker双面支气管封堵器,以便在手术的不同阶段选择性地隔离每侧肺。这种临床情况需要特定的设备,而不是传统的双腔导管或单侧支气管封堵器,来有效地管理患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c650/11531687/821c70ad6afd/cureus-0016-00000070824-i01.jpg

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