Effect of tracheal catheter obliquely facing rightin guidance of blind insertion of bronchial occluder for the patients with single-lung ventilation
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摘要:目的 探讨气管导管开口斜面向左或向右引导支气管堵塞器盲探置入在单肺通气患儿中的临床疗效及安全性。方法 选取本院接受诊断治疗的70例右侧开胸术患儿作为研究对象，随机分成观察组(气管导管斜面向右)和对照组(气管导管斜面向左)，每组35例。比较2组患儿的基线资料及相关临床指标、术后并发症发生情况。结果 2组患儿基线资料无显著差异(P>0.05)。观察组封堵时间显著短于对照组，一次到位成功率高于对照组，术后气道水肿及低氧血症发生率显著低于对照组(P < 0.05)。结论 调整气管导管开口斜面向右可有效缩短封堵总耗时间，提高一次到位成功率，降低术后并发症发生率。Abstract:Objective To explore the clinical efficacy and safety of blind insertion of bronchial occluder for children with one-lung ventilation under the guidance of tracheal catheter obliquely facing right or left.Methods A total of 70 children undergoing right thoracotomy in our hospital were selected as study subjects, and were randomly divided into observation group (trachea tube inclined to right) and control group (trachea tube inclined to left), with 35 cases in each group. The baseline data and related clinical indexes, and the incidence of postoperative complications were compared between the two groups.Results There was no significant difference in baseline data between the two groups (P>0.05). The blocking time in the observation group was significantly shorter, the rate of one-time success rate was higher, and the incidences of airway edema and hypoxemia after operation were significantly lower than that in the control group (P < 0.05).Conclusion The adjustment of the opening slope of the tracheal catheter to the right can effectively shorten the total time-consuming of plugging, improve the one-time insertion success rate, and reduce the incidence of postoperative complications.
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Keywords:
- trachea catheter /
- single-lung ventilation /
- bronchial occluder /
- hypoxemia /
- airway edema
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表 1 2组患儿的临床指标及并发症发生情况比较(x±s)[n(%)]
指标 观察组(n=35) 对照组(n=35) 封堵时间/s 64.4±14.2* 107.3±50.4 一次到位成功 34(97.1)* 25(71.4) 气道水肿 5(14.3)* 16(45.7) 低氧血症 0* 9(25.7) 与对照组比较, *P < 0.05。 
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[1] 黄今肇, 唐培佳, 梁勇升. GlideScope视频喉镜技术联合支气管堵塞器在胸外科手术困难气道患者单肺通气中的应用[J]. 微创医学, 2014, 9(3): 350-351. https://www.cnki.com.cn/Article/CJFDTOTAL-WCYX201403033.htm [2] 张国强, 叶靖, 陈俊勇, 等. 单肺通气预处理对儿童胸腔镜手术围术期氧合的影响[J]. 南方医科大学学报, 2015, 35(10): 1492-1496. doi: 10.3969/j.issn.1673-4254.2015.10.24 [3] Qiu J, Feng M, Zhang C, et al. Viva Sight single-lumen tube guided bronchial blocker placement for one-lung ventilation in a patient with a tracheal tumor under video-assisted transthoracic surgery: a case report[J]. BMC Anesthesiol, 2019, 19(1): 2-8. doi: 10.1186/s12871-018-0677-3
[4] Yao W, Qiu J, Wan L, et al. A Modified Method of Extraluminal Placement of the 9 Fr Arndt Bronchial Blocker Guided by Airtraq Videolaryngoscopy in Adult Thoracic Surgery[J]. J Cardiothorac Vasc Anesth, 2019, 33(4): 1173-1175. doi: 10.1053/j.jvca.2018.10.029
[5] Grocott H P. Lung isolation for emergent thoracotomy in the bleeding airway patient: the choice of bronchial blocker may make a difference[J]. Rev Bras Anestesiol, 2019, 69(1): 113-138. doi: 10.1016/j.bjan.2018.07.005
[6] Rosenberg J W, Lee K H, Leff J. Incidental discovery of tracheal bronchus during lung isolation for transthoracic esophagectomy[J]. J Clin Anesth, 2019, 53: 77-78. doi: 10.1016/j.jclinane.2018.10.009
[7] Grocott H P. Bronchial Blocker Use in the Difficult Airway Patient Requiring Lung Isolation: Clarification as to What Blockers Are Actually Available[J]. Anesth Analg, 2018, 127(6): e107-e107. http://journals.lww.com/anesthesia-analgesia/Fulltext/2018/12000/Bronchial_Blocker_Use_in_the_Difficult_Airway.39.aspx
[8] Liu Z, Yang X, Jia Q. One-lung ventilation in a patient with a large mass on the glottis: A case report[J]. Medicine (Baltimore), 2018, 97(36): e12237-e12242. doi: 10.1097/MD.0000000000012237
[9] Campos J H, Musselman E D, Hanada S, et al. Lung Isolation Techniques in Patients With Early-Stage or Long-Term Tracheostomy: A Case Series Report of 70 Cases and Recommendations[J]. J Cardiothorac Vasc Anesth, 2019, 33(2): 433-439. doi: 10.1053/j.jvca.2018.05.033
[10] Templeton T W, Lawrence A E, Lee A J, et al. Inside out: Repurposing endobronchial intubation to facilitate extraluminal placement of a 5 Fr Arndt bronchial blocker in young infants[J]. Paediatr Anaesth, 2018, 28(7): 668-669. doi: 10.1111/pan.13402
[11] 杨俊华, 黄俊杰, 林凤琼, 等. 不同体位联合气管导管斜面盲探置入支气管堵塞器在单肺通气中的临床研究[J]. 国际医药卫生导报, 2017, 23(24): 3848-3850. doi: 10.3760/cma.j.issn.1007-1245.2017.24.008 -
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