Skip to main content Accessibility help
×
Hostname: page-component-848d4c4894-4hhp2 Total loading time: 0 Render date: 2024-05-05T07:52:27.942Z Has data issue: false hasContentIssue false

Chapter 21 - One-Lung Ventilation

from Section 3 - Special Topics

Published online by Cambridge University Press:  10 September 2019

Narasimhan Jagannathan
Affiliation:
Northwestern University Medical School, Illinois
John E. Fiadjoe
Affiliation:
Children’s Hospital of Philadelphia
Get access

Summary

One-lung ventilation in children undergoing non-cardiac surgery presents unique challenges that frequently require specialized equipment and creative solutions to achieve success. At the time of writing, the infrequency of these cases at any one institution limits our ability to perform prospective trials to compare different devices and approaches. As a result, most of the primary literature on this topic is based on individual experience and cases series. Despite this issue, this area of practice still continues to brim with innovation and creativity with multiple approaches leading to success.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Templeton, TW, et al. Bending the Rules: a Novel Approach to Placement and Retrospective Experience with the 5 French Arndt Endobronchial Blocker in Children <2 Years. Pediatric Anesthesia 2016; 26: 512–20.CrossRefGoogle ScholarPubMed
Hammer, GB, et al. Single-Lung Ventilation in Pediatric Patients. Anesthesiology 1996; 84(6): 1503–6.CrossRefGoogle ScholarPubMed
Marciniak, B, et al. Fluoroscopic Guidance of Arndt Endobronchial Blocker Placement for Single Lung Ventilation in Small Children. Acta Anesthesiology Scandanavia 2008; 52: 1003–5.Google Scholar
Stephenson, L. Routine Extraluminal Use of the 5F Arndt Endobronchial Blocker for One-Lung Ventilation in Children up to 24 Months of Age. Journal of Cardiothoracic and Vascular Anesthesia 2011; 25(4): 683–6.Google Scholar
Wilson, CA, Wilmhurst, CA, AE Black. Anesthetic Techniques to Facilitate Lung Lavage for Pulmonary Alveolar Proteinosis in Children – New Airway Techniques and Review of the Literature. Pediatric Anesthesia 2015; 25: 546–53.Google Scholar
Paquet, C. Technique of Lung Isolation for Whole Lung Lavage in a Child with Pulmonary Alveolar Proteinosis. Anesthesiology 2009; 110: 190–2.CrossRefGoogle Scholar
Schmidt, C, Bellensmann, G, Van Aken, H, Semik, M, Bruessel, T, Enk, D. Single-Lung Ventilation for Pulmonary Lobe Resection in a Newborn. Anesthesia & Analgesia 2005; 101: 362–4.CrossRefGoogle ScholarPubMed
Haynes, SR, Bonner, S. Anesthesia for Thoracic Surgery in Children. Pediatric Anesthesia 2000; 10: 237–51.Google Scholar
Dunn, P. Physiology of the Lateral Decubitus Position and One-Lung Ventilation. International Anesthesia Clinics 2000; 38: 2553.CrossRefGoogle ScholarPubMed
Hammer, G. Single-Lung Ventilation in Infants and Children. Pediatric Anesthesia 2004; 14: 98102.CrossRefGoogle ScholarPubMed
Neumann, RP. The Neonatal Lung. Pediatric Anesthesia 2014; 24: 1021.Google Scholar
Templeton, TW, et al. Inside Out: Repurposing Endobronchial Intubation to Facilitate Extraluminal Placement of a 5 Fr Arndt Bronchial Blocker in Young Infants. Pediatric Anesthesia 2018; 28(7): 668–9.Google Scholar
Fabila, TS. One Lung Ventilation Strategies for Infants and Children Undergoing Video Assisted Thoracoscopic Surgery. Indian Journal of Anaesthesia 2013; 57(4): 339–44.Google Scholar
Kubota, H, Toyoda, Y, et al. Selective Blind Endobronchial Intubation in Children and Adults. Anesthesiology 1987; 67: 587–9.Google Scholar
Ko, R, Darling, G, et al. The Use of Air in the Inspired Gas Mixture during Two-Lung Ventilation Delays Lung Collapse. Anesthesia & Analgesia 2009; 108: 1092–6.CrossRefGoogle ScholarPubMed
Letal, M, Theam, M. Paediatric Lung Isolation. British Journal of Anaesthesia Education 2017; 17(2): 5772.Google Scholar
Templeton, TW, Goenaga Diaz, EJ, et al. A Prospective Comparison of Intraluminal and Extraluminal Placement of the 9-French Arndt Bronchial Blocker in Adult Thoracic Surgery Patients. Journal of Cardiothoracic and Vascular Anesthesia 2017; 31: 1335–40.Google Scholar
Semmelmann, A, Loop, T, Anesthesia of Thoracic Surgery in Children. Pediatric Anesthesia 2018; 28: 326–31.Google Scholar
Hsieh, VC, Haberkern, CM, Pediatric Endobronchial Blockers in Infants: a Refinement in Technique. Pediatric Anesthesia 2015; 25: 438–9.CrossRefGoogle ScholarPubMed
Tobias, J. Variation on One-Lung Ventilation. Journal of Clinical Anesthesia 2001; 13: 35–9.CrossRefGoogle ScholarPubMed
Nam, JS, Seo, H, Min, HG. The Use of Lung Ultrasonography to Confirm Lung Isolation in an Infant who Underwent Emergent Video-Assisted Thoracoscopic Surgery: a Case Report. Korean Journal of Anesthesia 2015; 68: 411–14.Google Scholar
Saporito, A, Franceshini, D, Tomasetti, R, Anselmi, L. Thoracic Ultrasound Confirmation of Correct Lung Exclusion before One-Lung Ventilation during Thoracic Surgery. Journal of Ultrasound 2013; 16: 195–9.Google Scholar
Mungroop, HE, Morei, MN, Loef, BG, Epema, AH. Lung Isolation with a New Y-Shaped Endobronchial Blocking Device, the EZ-Blocker. British Journal of Anaesthesia 2010; 104(1): 119–20.Google Scholar
Mourisse, J, Verhagen, A, van Rooji, G, van der Heide, S, Schuurbiers-Siebvers, O, Van der Heijden, E. Efficiency, Efficacy, and Safety of EZ-Blocker Compared with Left-Sided Double-Lumen Tube for One-Lung Ventilation. Anesthesiology 2013; 118(3): 550–61.CrossRefGoogle ScholarPubMed
Templeton, TW, Lawrence, AE, et al. An Initial Experience with an Extraluminal EZ-Blocker: a New Alternative for One-Lung Ventilation in Pediatric Patients. Pediatric Anesthesia 2018; 2018(28): 347–51.Google Scholar
Piccioni, FV, Previtali, P, et al. Extraluminal EZ-Blocker Placement for One-Lung Ventilation in Pediatric Thoracic Surgery. Journal of Cardiothoracic and Vascular Anesthesia 2015; 29: e71–3.CrossRefGoogle ScholarPubMed
Isil, CT, Oba, S. Paediatric Application of the EZ-Blocker for Thoracoscopic Sympathectomy. British Journal of Anaesthesia 2013; 111: 845–6.Google Scholar
Templeton, TW, Bryan, YF. Outside is the New Inside. Journal of Cardiothoracic and Vascular Anesthesia 2017; 31: e79.Google Scholar
Ueshima, H, Otake, H. Bilateral Pneumonectomy with Difficult Airway Managed by Using a Combination of i-gel and EZ-Blocker. Journal of Clinical Anesthesia 2016; 34: 516.CrossRefGoogle ScholarPubMed
Hammer, GB, Redepath, JH, Cannon, WB. Use of the Univent Tube for Single-Lung Ventilation in Paediatric Patients. Pediatric Anesthesia 1998; 8: 55–7.Google Scholar
Golianu, B. Pediatric Thoracic Anesthesia. Current Opinion in Anaesthesiology 2005; 18(1): 511.Google Scholar
Seefelder, C. Use of the 26-French Double-Lumen Tube for Lung Isolation in Children. Journal of Cardiothoracic and Vascular Anesthesia 2014; 28(3): e19–21.CrossRefGoogle ScholarPubMed
Brodsky, JB. Left Double-Lumen Tubes: Clinical Experience with 1170 Patients. Journal of Cardiothoracic and Vascular Anesthesia 2003; 17(3): 289–98.CrossRefGoogle Scholar
Slinger, P. Fiberoptic Bronchoscopic Positioning of Double Lumen Tubes. Journal of Cardiothoracic Anesthesia 1989; 3: 486–96.CrossRefGoogle ScholarPubMed
Brodsky, J. Con: Proper Positioning of a Double-Lumen Endobronchial Tube can Only be Accomplished with the Use of Endoscopy. Journal of Cardiothoracic and Vascular Anesthesia 1988; 2: 105–9.Google Scholar
Brodsky, JB, Mark, JBD. A Simple Technique for Accurate Placement of Double Lumen Endobronchial Tubes. Anesthesia Reviews 1983; 10: 2630.Google Scholar
Clayton-Smith, A, et al. A Comparison of the Efficacy and Adverse Effects of Double-Lumen Endobronchial Tubes and Bronchial Blockers in Thoracic Surgery: a Systematic Review and Meta-Analysis of Randomized Controlled Trials. Journal of Cardiothoracic and Vascular Anesthesia 2015; 29: 955–66.Google Scholar
Li, P, Gu, H. One-Lung Ventilation Using Proseal Laryngeal Mask Airway and Arndt Endobronchial Blocker in Paediatric Scoliosis Surgery. British Journal of Anaesthesia 2009; 103(6): 902–3.Google Scholar
Sun, J. One-Lung Ventilation for Children with Pierre Robin Sequence Using Supreme LMA and Arndt Endobronchial Blocker: a Case Report. International Journal of Clinical and Experimental Medicine 2016; 9(10): 20394–6.Google Scholar
Mack, MJ, Acuff, TE, Douthit, MB, Bowman, RT, Ryan, WH. Present Role of Thoracoscopy in the Diagnosis and Treatment of Diseases of the Chest. Annals of Thoracic Surgery 1992; 54: 403–9.Google Scholar
Sutton, CJ, Puri, S, Sprenker, CJ, Camporesi, EM. One-Lung Ventilation in Infants and Small Children: Blood Gas Values. Journal of Anesthesia 2012; 26: 670–4.Google Scholar
Bird, GT, et al. Effectiveness of Arndt Endobronchial Blockers in Pediatric Scoliosis Surgery: a Case Series. Pediatric Anesthesia 2007; 17: 289–94.Google Scholar
Friesen, RH. Anesthetic Management of Children with Pulmonary Arterial Hypertension. Pediatric Anesthesia 2008; 18: 208–16.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×