关键词: Endobronchial blocker minimally invasive cardiac surgery one lung ventilation tracheal bronchus tracheobronchial anomaly

来  源:   DOI:10.4274/TJAR.2024.231493   PDF(Pubmed)

Abstract:
Tracheal bronchi (TB) is a rare anomaly and is usually asymptomatic. Although it is generally not a problem when a single lumen tube is used, it may cause ventilation difficulties in the intraoperative period in procedures requiring one lung ventilation, such as minimally invasive cardiac surgery. Therefore, these difficulties may cause intraoperative and postoperative complications. While a double-lumen tube is recommended as the primary choice for one-lung ventilation in patients with TB, bronchial blockers can be used to avoid the need for tube exchange in patients who will remain intubated in the postoperative period.
摘要:
气管支气管(TB)是一种罕见的异常,通常无症状。虽然使用单腔管时通常不是问题,在需要单肺通气的手术中,它可能导致术中通气困难,例如微创心脏手术。因此,这些困难可能导致术中和术后并发症。虽然双腔管被推荐为结核病患者单肺通气的主要选择,支气管阻滞剂可用于避免术后仍需插管的患者需要换管。
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