Anesthetic management of pediatric patients undergoing thoracoscopy

Rowe, Richard W.; Andropoulos, Dean; Heard, Maurine B.; Johnson, Kate; DeCampli, William M.; Idowu, Olajire

doi:10.1016/1053-0770(94)90171-6

Cited by 46 publications

(11 citation statements)

References 18 publications

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“…The simplest means of providing SLV is to intentionally intubate the ipsilateral mainstem bronchus with a conventional ETT (4). When the left bronchus is to be intubated, the bevel of the ETT is rotated 180° and the patient's head is turned to the right (5).…”

Section: Single‐lumen Endotracheal Tubementioning

confidence: 99%

Single‐lung ventilation in infants and children

Hammer

2004

Pediatric Anesthesia

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During the past decade, the use of video-assisted thoracoscopic surgery (VATS) has dramatically increased in children as well as adults. Although VATS can be performed while both lungs are being ventilated, single-lung ventilation (SLV) is desirable during VATS. In addition, anaesthesiologists are performing (and paediatric surgeons are requesting) SLV more frequently for open thoracotomies in infants and children.

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Section: Single‐lumen Endotracheal Tubementioning

confidence: 99%

Single‐lung ventilation in infants and children

Hammer

2004

Pediatric Anesthesia

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“…In young children, SLV may be performed by advancing a TT into the mainstem bronchus opposite the side of surgery, after which the nonventilated lung will deflate due to absorption atelectasis (2). Problems can occur, however, when this technique is used.…”

Section: Discussionmentioning

confidence: 99%

Single lung ventilation in children using a new paediatric bronchial blocker

Hammer

Harrison

Vricella

et al. 2002

Pediatric Anesthesia

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As video-assisted thoracoscopic surgery has become more common in paediatric patients, the use of single lung ventilation in children has also increased. Single lung ventilation in young children is performed by either advancing a tracheal tube into the mainstem bronchus opposite the side of surgery or by positioning a bronchial blocker into the mainstem bronchus on the operative side. Techniques for placing a variety of bronchial blockers outside the tracheal tube have been described. We describe a technique for placement of a new bronchial blocker through an indwelling tracheal tube using a multiport adaptor and a fibreoptic bronchoscope.

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“…In method (1), repeated collapsing and expansion of the right lung with bronchial intubation causes too many complications. In method (2), no commercial DLT fitting our patient's trachea size was available. In method (3), maintaining the position of the balloon tip and the shaft of the catheter would be difficult, since the bifurcation of the right upper bronchus was located at a more proximal site than a normal one and the patient's trachea had an internal diameter of 10 mm.…”

Section: Discussionmentioning

confidence: 99%