Ost D, Corbridge T
Department of Medicine, New York University School of Medicine, New York, USA.
Clin Chest Med. 1996 Sep;17(3):591-601. doi: 10.1016/s0272-5231(05)70333-6.
Situations in which independent lung ventilation may be of use include massive hemoptysis, pulmonary alveolar proteinosis, risk of interbronchial aspiration, unilateral lung injury, single lung transplant, and BPF. Any decision to attempt independent lung ventilation should take into consideration the many technical difficulties associated with the procedure. They include difficulties in the placement of DLTs and monitoring tube position, the risk of tube displacement, and the risk of airway trauma. The clinician also must consider the costs in terms of available manpower and resources. Maintaining a patient on independent lung ventilation requires highly skilled nursing care, specialized monitoring devices, and readily available FOB. Even with these limitations, independent lung ventilation may be of use in certain clinical situations when standard methods have failed.
独立肺通气可能有用的情况包括大量咯血、肺泡蛋白沉积症、支气管间误吸风险、单侧肺损伤、单肺移植和支气管胸膜瘘。任何尝试独立肺通气的决定都应考虑到与该操作相关的诸多技术难题。这些难题包括双腔支气管导管（DLT）放置困难及监测导管位置、导管移位风险和气道创伤风险。临床医生还必须考虑可用人力和资源方面的成本。维持患者进行独立肺通气需要高技能的护理、专门的监测设备以及随时可用的纤维支气管镜（FOB）。即便存在这些限制，但在标准方法失败的某些临床情况下，独立肺通气仍可能有用。
