Yasumoto M, Harasawa I, Mori M, Tanaka K, Dan K
Department of Anesthesiology, School of Medicine, Fukuoka University.
Masui. 1994 Jul;43(7):1044-7.
One-lung anesthesia using a Fogarty catheter in pediatric patients is presented. Case 1 is an 8 year old male with coarctation of the aorta scheduled for coarctectomy. Case 2 is a 13 year old female with metastatic lung tumor scheduled for partial resection of the left upper lobe under thoracoscopic surgery. One-lung anesthesia was successfully established with a Fogarty catheter in both patients and no hypoxic episode was encountered during the one-lung anesthesia. Postoperatively, there was no evidence of atelectasis of the lung or barotrauma to the trachea or bronchus. Thus, the Fogarty catheter appears useful for pediatric one-lung anesthesia, especially when the double lumen endobronchial tubes or endobronchial blockers of smaller sizes are not available.
介绍了在儿科患者中使用Fogarty导管进行单肺麻醉的情况。病例1是一名8岁男性，患有主动脉缩窄，计划进行缩窄切除术。病例2是一名13岁女性，患有转移性肺肿瘤，计划在胸腔镜手术下行左上叶部分切除术。两名患者均通过Fogarty导管成功建立了单肺麻醉，且在单肺麻醉期间未出现低氧发作。术后，没有肺不张或气管或支气管气压伤的证据。因此，Fogarty导管似乎对儿科单肺麻醉有用，尤其是在没有较小尺寸的双腔支气管导管或支气管内封堵器的情况下。
