Anesthetic Management of One-Lung Ventilation in Patients With Tracheal Bronchus: A Narrative Review

被引：1
作者：
Xu, Zhibiao [1 ,2 ]
Zhang, Li [1 ,2 ]
Liu, Yuyun [1 ,2 ]
Wang, Qingfeng [1 ,2 ]
Liu, Hongyan [1 ,2 ]
Gao, Han [1 ,3 ]
Jiang, Yunru [1 ,4 ]
Zhao, Linlin [1 ,2 ]
机构：
[1] Xuzhou Med Univ, Jiangsu Prov Key Lab Anesthesiol, Xuzhou, Peoples R China
[2] Xuzhou Med Univ, Affiliated Hosp, Dept Anesthesiol, 99 Huaihai Rd, Xuzhou 221002, Peoples R China
[3] Xuzhou Med Univ, Affiliated Hosp 2, Dept Anesthesiol, Xuzhou, Peoples R China
[4] Kunshan Matern Hosp, Dept Anesthesiol, Suzhou, Peoples R China
来源：
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2024年 / 38卷 / 10期
关键词：
tracheal bronchus; Conacher classification; flexible bronchoscopy; chest computed tomography; 1-lung ventilation; TRACHEOBRONCHIAL TREE; COMPUTED-TOMOGRAPHY; THORACIC-SURGERY;
D O I：
10.1053/j.jvca.2024.05.033
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Tracheal bronchus is a rare congenital tracheal abnormality that generally refers to the right upper lobe bronchus of the lung that originates from the trachea. Tracheal bronchus is usually asymptomatic and is often accidentally detected by fiberoptic bronchoscopy or computed tomography for other conditions. Depending on the location of the tracheal bronchial opening and possible anatomical variations, the management of 1-lung ventilation in patients with tracheal bronchus is a significant challenge for anesthesiologists. To provide a reference for anesthesiologists to better manage anesthesia in such patients, we review the pathophysiology, definition, and Conacher classification of tracheal bronchus and then discuss the diagnosis of tracheal bronchus and management of 1-lung ventilation during anesthesia according to the Conacher classification. (c) 2024 The Author(s). Published by Elsevier Inc.
引用
收藏
页码：2426 / 2432
页数：7
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