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Pediatric Thoracoscopy and Bronchial Blockers: The Continued Search for the Ideal One-Lung Ventilation

Elisa Cerchia1, Luisa Ferrero2, Francesco Molinaro1

  • 11 Pediatric Surgery Unit, Department of Medical Sciences, Surgery, and Neuroscience, University of Siena , Siena, Italy .

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|October 22, 2015
PubMed

Insights

Bronchial blockers effectively isolate lungs during pediatric thoracoscopic surgery, enabling one-lung ventilation. This method proved highly successful in a study of 16 young patients, ensuring safe and efficient procedures.

Area of Science:

  • Pediatric Anesthesia
  • Thoracic Surgery
  • Respiratory Management

Background:

  • Pediatric anesthesia increasingly requires lung isolation for thoracoscopic procedures.
  • Thoracoscopic surgery in infants and children is becoming more common.

Purpose of the Study:

  • To evaluate the efficacy of bronchial blockers for one-lung ventilation in pediatric thoracoscopic surgery.
  • To assess the safety and effectiveness of using bronchial blockers in young patients.

Main Methods:

  • A retrospective review of 16 children undergoing thoracoscopic procedures between 2006 and 2014.
  • One-lung ventilation was achieved using a bronchial blocker in all cases.

Main Results:

  • The mean age of patients was 99 months (range, 6-186 months).
  • One-lung ventilation was successfully achieved in all 16 patients.
  • Excellent lung deflation was noted in most cases, with minor issues in 3 patients (malposition/dislodgement).

Conclusions:

  • Bronchial blockers are a highly effective tool for achieving one-lung ventilation in pediatric thoracoscopic surgery.
  • The use of bronchial blockers is safe and efficient for lung isolation in this patient population.
Abstract

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