Selective lung intubation during paediatric thoracic surgeries
Autor: | B Nedomova, M Rygl, V Mixa |
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Rok vydání: | 2016 |
Předmět: |
Male
Microsurgery Economics and Econometrics medicine.medical_specialty Thoracic Surgical Procedure medicine.medical_treatment Perforation (oil well) 030204 cardiovascular system & hematology Balloon 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Intubation Intratracheal Materials Chemistry Media Technology medicine Thoracoscopy Humans Intubation Thoracotomy Child Lung medicine.diagnostic_test business.industry Thoracic Surgery Forestry Thoracic Surgical Procedures Respiration Artificial One-Lung Ventilation Surgery Retractor Cardiothoracic surgery Child Preschool Female Anesthesia Inhalation business |
Zdroj: | Bratislava Medical Journal. 117:397-400 |
ISSN: | 1336-0345 |
Popis: | Selective lung intubation is a necessary prerequisite for the completion of most interventions comprising thoracotomy and thoracoscopy. In paediatric care, our site uses Univent tubes for children up to the age of three years and double-lumen tubes (DLT) for children from 6-8 years of age. In younger children, we usually use regular endotracheal intubation, with the lung being held in the hemithorax position being operated on using a surgical retractor. The article presents the analysis of 860 thoracic surgeries, of which 491 comprised selective intubation (Univent 57 cases, DLT 434 cases). The use of the aforementioned devices is connected with certain complications. Univent tube can be connected with intraoperative dislocation of the obturating balloon (29.8%) and balloon perforation (5.2%). DLT insertion may be connected with failure of tube fitting. In 84 cases we had to repeat DLT insertion (20.6%). In 8 cases we were not able to insert DLT at all (1.8%). Standard use of selective intubation methods in paediatric patients from two years of age improved the conditions for surgical interventions (Tab. 2, Fig. 2, Ref. 19). |
Databáze: | OpenAIRE |
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