A combination of supraglottic airway and bronchial blocker for one-lung ventilation in infants undergoing

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A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
04:46

A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation

Published on: January 17, 2011

21.6K

Junlin Lv1, Xiaoying Ding1, Jing Zhao1

  • 1Department of Anesthesiology, Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.

Heliyon
|February 27, 2023
PubMed

Insights

Combining supraglottic airway (SGA) devices with bronchial blockers (BB) significantly reduced hospital stays for young children undergoing one-lung ventilation (OLV). This novel approach also decreased placement time and inflammatory markers post-surgery.

Area of Science:

  • Pediatric Anesthesiology
  • Thoracic Surgery
  • Respiratory Care

Background:

  • One-lung ventilation (OLV) in children under two years presents significant challenges.
  • Traditional methods may lead to prolonged recovery and complications.

Purpose of the Study:

  • To evaluate the efficacy of combining a supraglottic airway (SGA) device with intraluminal bronchial blocker (BB) placement for OLV in infants.
  • To compare this novel technique against the standard endotracheal tube (ETT) with extraluminal BB placement.

Main Methods:

  • A prospective method-comparison study involving 120 pediatric patients undergoing thoracoscopic surgery.
  • Patients were randomized into two groups: SGA plus intraluminal BB (n=60) or ETT plus extraluminal BB (n=60).
  • Primary outcome: postoperative hospitalization duration; Secondary outcomes: OLV parameters and adverse events.

Main Results:

  • The SGA plus BB group had a shorter hospital stay (6 days vs. 9 days, P=0.034).
  • Placement time was significantly reduced with SGA plus BB (64s vs. 132s, P=0.001).
  • Lower postoperative leukocyte (WBC) and C-reactive protein (CRP) levels were observed in the SGA plus BB group (P=0.022 and P=0.014, respectively).

Conclusions:

  • The combination of SGA and intraluminal BB is a safe and effective option for OLV in children under two years.
  • This technique appears to shorten hospital stays and reduce postoperative inflammation.
  • Further research is needed to elucidate the mechanisms behind the shortened hospital stay.
Abstract

Keywords:
AnesthesiaBronchial blockerInfantOne-lung ventilationSupraglottic airway

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