Intracuff pressure during one-lung ventilation in infants and children.
Intracuff pressure
One-lung ventilation
Pediatric anesthesia
Journal
Journal of pediatric surgery
ISSN: 1531-5037
Titre abrégé: J Pediatr Surg
Pays: United States
ID NLM: 0052631
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
03
08
2018
revised:
08
10
2018
accepted:
31
10
2018
pubmed:
21
1
2019
medline:
20
12
2019
entrez:
21
1
2019
Statut:
ppublish
Résumé
We prospectively evaluated intracuff pressure (IP) during one-lung ventilation (OLV) to characterize potential risk associated with overinflation of the cuff used for OLV. Prospective observational study over a 2-year period, in infants and children undergoing thoracic surgery. The IPs of the tracheal and bronchial balloon were measured using a manometer and compared to a previously recommended threshold of 30 cmH2O. Data were compared by the device type used to achieve OLV. Freestanding tertiary-care pediatric hospital. Patients ≤18 years of age undergoing thoracic procedures requiring OLV. Measurement of IP. Thirty patients were enrolled (age 5 months-18 years) with a median weight of 28 kg. Median tracheal and bronchial IPs were 32 cmH2O (range: 11, 90) and 44 cmH2O (range: 10, 100), respectively. The tracheal and bronchial IPs exceeded 30 cmH2O in 13 of 20 patients (65%) and 21 of 30 patients (70%), respectively. IP was high and in excess of recommended levels in most children undergoing OLV. Continuous monitoring of IP may be indicated during OLV to address the risks involved and ensure the prevention of complications related to high IP. Prospective comparative study. Level II.
Identifiants
pubmed: 30660384
pii: S0022-3468(18)30810-8
doi: 10.1016/j.jpedsurg.2018.10.110
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1929-1932Informations de copyright
Copyright © 2018 Elsevier Inc. All rights reserved.