Isolation of the lung: Double-lumen tubes and endobronchial blockers

被引:11
作者
Licker, Marc [1 ]
Le Guen, Morgan [1 ]
Diaper, John [1 ]
Triponez, FrederRic [2 ,3 ]
Karenovics, Wolfram [2 ]
机构
[1] Univ Hosp Geneva, Dept Anesthesiol Pharmacol & Intens Care Med, Rue Gabrielle Perret Gentil, CH-1211 Geneva, Switzerland
[2] Univ Geneva, Fac Med, Geneva, Switzerland
[3] Univ Hosp Geneva, Dept Thorac Surg, Geneva, Switzerland
关键词
Thoracic surgery; One-lung ventilation; Anesthesia; Fiberoptic bronchoscopy;
D O I
10.1016/j.tacc.2014.04.003
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Over the past decades, indications for one-lung ventilation (OLV) have largely increased in cardiothoracic, orthopedic and spinal surgery along with the advances in minimally invasive techniques. Lung isolation is currently achieved with a double-lumen endotracheal tube (DLT) or an endobronchial blocker (EBB). Expertises in videolaryngoscopy and fiberoptic bronchoscopy (FOB) are valuable assets for safe management of the upper airways and correct placement of DLTs and BBs. This review will focus on a rationale application of either of these lung isolation devices, discussing their specificities, indications and limitations which are relevant for thoracic and non-thoracic anesthesiologists. (C) 2014 Elsevier Ltd. All rights reserved.
引用
收藏
页码:47 / 54
页数:8
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