Double-lumen tube for ventilation in severe kyphoscoliosis.

Autor: Kundra P; Department of Anaesthesiology and Critical Care, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry 605006, India., Joseph A, Kumar S, Sai Chandran BV
Jazyk: angličtina
Zdroj: Journal of anesthesia [J Anesth] 2008; Vol. 22 (3), pp. 317-21. Date of Electronic Publication: 2008 Aug 07.
DOI: 10.1007/s00540-008-0638-y
Abstrakt: The presence of kyphoscoliosis can adversely affect gas exchange because of restriction to gas flow and reduction of lung volume. The effects become more exaggerated during positive-pressure ventilation due to the uneven distribution of ventilation. The use of a double-lumen tube helps to reduce the ventilation perfusion mismatch that occurs because of positive-pressure ventilation. We report a patient with severe kyphoscoliosis who underwent repair of an atrial septal defect, in whom a double-lumen tube was used for ventilation and the conduct of general anesthesia.
Databáze: MEDLINE