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Single lung ventilation in children using a new paediatric bronchial blocker
Gregory B Hammer1, T Kyle Harrison, Luca A Vricella
1Department of Anesthesia, Stanford University School of Medicine, Stanford, CA 94305-5115, USA. ham@leland.stanford.edu
Paediatric Anaesthesia
|February 19, 2002
Summary
Pediatric video-assisted thoracoscopic surgery requires single lung ventilation. A new technique uses a bronchial blocker placed through an indwelling tracheal tube with a multiport adaptor and bronchoscope.
Area of Science:
- Anesthesiology and critical care
- Pediatric surgery
- Respiratory medicine
Background:
- Video-assisted thoracoscopic surgery (VATS) is increasingly performed in pediatric patients.
- This rise in VATS necessitates effective single lung ventilation (SLV) techniques in children.
- Current SLV methods involve mainstem bronchus intubation or external bronchial blockers.
Observation:
- Single lung ventilation in young children presents unique challenges.
- Existing bronchial blocker placement techniques often require external devices.
- A novel approach for internal bronchial blocker deployment is described.
Findings:
- A new technique allows bronchial blocker placement through an indwelling tracheal tube.
- This method utilizes a multiport adaptor and a fiberoptic bronchoscope.
- The described technique offers an alternative for achieving SLV in pediatric patients.
Implications:
- This technique may simplify SLV in pediatric thoracic surgery.
- It provides a potentially less invasive method for bronchial blockade.
- Further evaluation is needed to establish its efficacy and safety profile.