External tracheal manipulation for bronchial blocker placement in children undergoing thoracic surgery requiring one lung ventilation: A case report

Limited options exist for pediatric one lung ventilation (OLV). Compared to adults, pediatric OLV can be more challenging due to physiological/anatomical differences, various pathologies, and size limitations of lung isolation devices. Fiberoptic bronchoscopy can be harder due to the restricted tube...

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Autores principales: Kapoor, Ravish, Owusu- Agyemang, Pascal, Thakar, Dilip R, Heir, Jagtar Singh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8081121/
https://www.ncbi.nlm.nih.gov/pubmed/33938846
http://dx.doi.org/10.4103/aca.ACA_56_19
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author Kapoor, Ravish
Owusu- Agyemang, Pascal
Thakar, Dilip R
Heir, Jagtar Singh
author_facet Kapoor, Ravish
Owusu- Agyemang, Pascal
Thakar, Dilip R
Heir, Jagtar Singh
author_sort Kapoor, Ravish
collection PubMed
description Limited options exist for pediatric one lung ventilation (OLV). Compared to adults, pediatric OLV can be more challenging due to physiological/anatomical differences, various pathologies, and size limitations of lung isolation devices. Fiberoptic bronchoscopy can be harder due to the restricted tube sizes through which bronchial blockers (BB) and scopes can appropriately fit, while providing adequate oxygenation and ventilation. Recent literature is sparse concerning facilitation of BB placement in children. A 2-, 8-, and 10-year-old presented for thoracic surgeries requiring OLV. External tracheal manipulation (ETM) facilitated BB placement in each case and can potentially offer unique advantages in pediatric OLV.
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spelling pubmed-80811212021-06-02 External tracheal manipulation for bronchial blocker placement in children undergoing thoracic surgery requiring one lung ventilation: A case report Kapoor, Ravish Owusu- Agyemang, Pascal Thakar, Dilip R Heir, Jagtar Singh Ann Card Anaesth Case Report Limited options exist for pediatric one lung ventilation (OLV). Compared to adults, pediatric OLV can be more challenging due to physiological/anatomical differences, various pathologies, and size limitations of lung isolation devices. Fiberoptic bronchoscopy can be harder due to the restricted tube sizes through which bronchial blockers (BB) and scopes can appropriately fit, while providing adequate oxygenation and ventilation. Recent literature is sparse concerning facilitation of BB placement in children. A 2-, 8-, and 10-year-old presented for thoracic surgeries requiring OLV. External tracheal manipulation (ETM) facilitated BB placement in each case and can potentially offer unique advantages in pediatric OLV. Wolters Kluwer - Medknow 2021 2021-01-22 /pmc/articles/PMC8081121/ /pubmed/33938846 http://dx.doi.org/10.4103/aca.ACA_56_19 Text en Copyright: © 2021 Annals of Cardiac Anaesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Kapoor, Ravish
Owusu- Agyemang, Pascal
Thakar, Dilip R
Heir, Jagtar Singh
External tracheal manipulation for bronchial blocker placement in children undergoing thoracic surgery requiring one lung ventilation: A case report
title External tracheal manipulation for bronchial blocker placement in children undergoing thoracic surgery requiring one lung ventilation: A case report
title_full External tracheal manipulation for bronchial blocker placement in children undergoing thoracic surgery requiring one lung ventilation: A case report
title_fullStr External tracheal manipulation for bronchial blocker placement in children undergoing thoracic surgery requiring one lung ventilation: A case report
title_full_unstemmed External tracheal manipulation for bronchial blocker placement in children undergoing thoracic surgery requiring one lung ventilation: A case report
title_short External tracheal manipulation for bronchial blocker placement in children undergoing thoracic surgery requiring one lung ventilation: A case report
title_sort external tracheal manipulation for bronchial blocker placement in children undergoing thoracic surgery requiring one lung ventilation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8081121/
https://www.ncbi.nlm.nih.gov/pubmed/33938846
http://dx.doi.org/10.4103/aca.ACA_56_19
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