Error traps in pediatric one-lung ventilation.
bronchial blocker
double-lumen endobronchial tube
endobronchial intubation
hypercarbia
hypoxia
infants
one-lung ventilation
pediatric
Journal
Paediatric anaesthesia
ISSN: 1460-9592
Titre abrégé: Paediatr Anaesth
Pays: France
ID NLM: 9206575
Informations de publication
Date de publication:
Feb 2022
Feb 2022
Historique:
revised:
31
10
2021
received:
30
09
2021
accepted:
03
11
2021
pubmed:
13
11
2021
medline:
18
3
2022
entrez:
12
11
2021
Statut:
ppublish
Résumé
With the advent of thoracoscopic surgery, the benefits of lung isolation in children have been increasingly recognized. However, because of the small airway dimensions, equipment limitations in size and maneuverability, and limited respiratory reserve, one-lung ventilation in children remains challenging. This article highlights some of the most common error traps in the management of pediatric lung isolation and focuses on practical solutions for their management. The error traps discussed are as follows: (1) the failure to take into consideration relevant aspects of tracheobronchial anatomy when selecting the size of the lung isolation device, (2) failure to execute correct placement of the device chosen for lung isolation, (3) failure to maintain lung isolation related to surgical manipulation and isolation device movement, (4) failure to select appropriate ventilator strategies during one-lung ventilation, and (5) failure to appropriately manage and treat hypoxemia in the setting of one-lung ventilation.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
346-353Informations de copyright
© 2021 John Wiley & Sons Ltd.
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