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One lung ventilation in infants and children: experience with Marraro double lumen tube

Dilip K Pawar1, Giuseppe A Marraro

  • 1All India Institute of Medical Sciences, New Delhi, India. dkpawar@hotmail.com

Paediatric Anaesthesia
|February 24, 2005
PubMed

Insights

Selective bronchial intubation using a double lumen tube is effective for pediatric thoracic surgery. This method allows for independent lung ventilation in children up to 3 years old, with no reported complications.

Area of Science:

  • Pediatric Anesthesiology
  • Thoracic Surgery
  • Respiratory Management

Background:

  • Thoracic surgery in young children presents unique ventilation challenges.
  • Selective bronchial intubation with a double lumen tube is a potential solution.
  • Evaluating its efficacy in children up to 3 years old is crucial.

Purpose of the Study:

  • To assess the effectiveness of selective bronchial intubation and independent lung ventilation.
  • To evaluate the use of a double lumen tube in pediatric thoracic surgery.
  • To determine the safety and outcomes in children up to 3 years of age.

Main Methods:

  • Retrospective and prospective study of 17 children (1 day to 3 years).
  • Thoracic surgery performed with selective intubation using a double lumen tube.
  • Independent lung ventilation applied during surgery, with independent lung reexpansion post-operatively.

Main Results:

  • No serious intraoperative or postoperative complications were observed.
  • Children recovered completely without sequelae after extubation.
  • Six children required prolonged double lumen tube intubation (8-48 hours).

Conclusions:

  • Double lumen tubes are highly effective for one-lung ventilation in pediatric thoracic surgery.
  • This technique facilitates safe and successful surgical procedures in young children.
  • The method ensures good patient outcomes and recovery.
Abstract

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