Home Bratislava Medical Journal 2016 Bratislava Medical Journal Vol.117, No.7, p.397-400, 2016

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

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Bratislava Medical Journal Vol.117, No.7, p.397-400, 2016

Title: Selective lung intubation during paediatric thoracic surgeries
Author: V. Mixa, B. Nedomova, M. Rygl

Abstract: 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).

Keywords: paediatric anaesthesia, paediatric thoracic surgery, selective lung intubation, Univent tube, double-lumen tube
Published online: 12-Jul-2016
Year: 2016, Volume: 117, Issue: 7 Page From: 397, Page To: 400

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