支氣管封堵器的臨床應(yīng)用

1、支氣管封堵器的臨床應(yīng)用趙雪蓮 河北醫(yī)科大學第四醫(yī)院支氣管封堵器 -中國知網(wǎng)76；2003-2018支氣管封堵器 -中國知網(wǎng)Bronchial Blocker (BB)PubMedClinical Trial281996 20181/yBronchial Blocker (BB)PubMedCase Report103人-102；動物-1。1983 2018Case ReportBBBB 始于1936，Magill 在胸科手術(shù)中使用末端帶氣囊的長管封堵支氣管，后改進與單腔氣管導管配合使用。（帶套囊尿管）現(xiàn) BB 不斷有新品面世。BB 類型Arndt BBCohen BBTCB Univent B

2、BFuji BBE Z BB Coopdech BBBB：困難氣道DLT 的板凳隊員One lung ventilation in cases with unsuccessful double-lumen endobronchial intubation.1993 Chinese journal of anesthesiologyIndependent placement of a bronchial blocker for single-lung ventilation: an alternative method for the difficult airway. 1996 Anesthe

3、sia & AnalgesiaUse of the Univent System tube for difficult intubation and for achieving one-lung anaesthesia. 1996 Acta Anaesthesiologica ScandinavicaLung isolation techniques for patients with difficult airway. 2010 Current opinion in anaesthesiologyOne-lung ventilation in a patient with stenting

4、for tracheobronchial stenosis caused by esophageal cancer. 2011 Journal of Clinical Anesthesia Use of the Coopdech Bronchial Blocker as a tracheal tube introducer in a patient with difficult laryngoscopy. 2010 Journal of Clinical Anesthesia BB-小兒Anaesthetic management for a left pneumonectomy in a c

5、hild with bronchopleural fistula. 2000 Pediatric AnesthesiaOne-lung anesthesia was successfully maintained by means of Fogarty Catheter in infant. 2002 MasuiLung isolation in a child with unilateral necrotizing Clostridium perfringens pneumonia. 2005 critical care medicineCase report of using a conn

6、ector (phycon TCB bronchial blocker) for pediatric one-lung anesthesia. 2007 MasuiSingle lung ventilation in a young child for repair of coarctation of aorta.2010 Journal of the College of Physicians and Surgeons-Pakistan Alternative methods of lung isolation in cases of pediatric bilateral thoracos

7、copic surgery . 2016 Pediatric AnesthesiaBB-常規(guī)應(yīng)用（單肺通氣）Bronchial Blocker Versus Left Double-Lumen Endotracheal Tube for One-Lung Ventilation in Right Video-Assisted Thoracoscopic Surgery. 2018 Journal of Cardiothoracic and Vascular Anesthesia Lung Isolation for Thoracic Surgery: From Inception to Evi

8、dence-Based. 2017 Review Journal of Cardiothoracic and Vascular Anesthesia 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. 2015 Journal of Cardiotho

9、racic and Vascular AnesthesiaAn update onbronchialblockers during lung separation techniques in adults. 2003 Anesthesia & AnalgesiaBB-肺葉，肺段隔離Segmental Lung Isolation in a Postpneumonectomy Patient Undergoing Contralateral Lung Resection. 2017 Journal of Cardiothoracic and Vascular AnesthesiaLung iso

10、lation in patients with previous lung resections: Selective sequential lobar blockade using a Fuji Uniblocker endobronchial blocker. 2016 Revista Espaola de Anestesiologa y ReanimacinUpdate on selective lobar blockade during pulmonary resections. 2009 Current Opinion in AnesthesiologySequential loba

11、r-lung-lobar isolation using a deflecting tip bronchial blocker. 2006 Journal of clinical anesthesiaA Prospective Comparison of Intraluminal and Extraluminal Placement of the 9-French Arndt Bronchial Blocker in Adult Thoracic Surgery Patients. 2017 Journal of Cardiothoracic and Vascular Anesthesia成人

12、胸外科患者9-F Arndt支氣管阻封堵器腔內(nèi)和腔外置入的前瞻性比較。腔外方法放置的時間顯著縮短，術(shù)后喉嚨痛的發(fā)生率沒有任何差異。無論是在腔內(nèi)還是在腔外，大部分支氣管內(nèi)阻滯器至少需要一次術(shù)中重新定位。BB-用于氣管出血止血Use of bronchial blocker in emergent thoracotomy in presence of upper airway hemorrhage, and cervical spine fracture: a difficult decision. 2018 Revista Brasileira de AnestesiologiaExperien

13、ce of hemostasis in tracheal bleeding very close to the carina by the bronchial blocker: a case report. 2016 Korean Journal of Anesthesiology Successful management of a trauma patient with pulmonary hemorrhage using a wire-guided bronchial blocker. 2007 The Journal of Trauma: Injury, Infection, and

14、Critical Care.BB-用于阻斷單側(cè)肺漏氣Management of traumatic pneumothorax with massive air leakage: role of a bronchial blocker: a case report. 2014 Korean Journal of Anesthesiology BB 治療肺血栓取栓術(shù)后大咯血Management of Massive Hemoptysis After Pulmonary Thromboembolectomy Using a Double Bronchial Blocker System. 2017

15、Journal of Cardiothoracic and Vascular AnesthesiaBB- 支氣管殘端瘺Two successful cases in the treatment of post-operative bronchial stump fistulae. 2005 Annals of Thoracic and Cardiovascular SurgeryBB-氣管切開后置入單肺通氣Extraluminal Placement of an Arndt Bronchial Blocker Through a Tracheal Stoma. 2016 Journal of

16、Cardiothoracic and Vascular AnesthesiaExsanguinating tuberculosis-related hemoptysis: bronchial blocker introduced through percutaneous tracheostomy. 2009 Minerva AnestesiologicaFoley catheter used as bronchial blocker for one lung ventilation in a patient with tracheostomy-a case report. 1995 Acta

17、anaesthesiologica SinicaBB-病態(tài)肥胖患者Lung separationin themorbidlyobesepatient. 2012 Anesthesiol Res PractBB-氣道巨大腫物Successful one-lung ventilation using a bronchial blocker tube for a large tracheal carcinoma resection. 2017 J Clin Anesth.DLT + BBDLT 復合 BB 肺感染肺葉切除Combination of a double-lumen tracheal t

18、ube and bronchial blocker for a patient with continuous bleeding due to invasive lung infection. 2015 Journal of Clinical AnesthesiaDLT 復合 BB 長期吸煙，氣道分泌物多的肺葉切除Anesthetic Management of Simultaneous Right Lobectomy and Esophagectomy with a Double-lumen Tracheal Tube and BronchialBlocker. 2016 MasuiDLT

19、復合 BB 彌補 DLT 隔離不全Failure of lung isolation by a double-lumen endotracheal tube rescued by the concomitant use of an arndt bronchial blocker under direct visualization. 2013 A&A Case Reports JournalDLT + BBDLT 復合 BB -支氣管胸膜瘺Lobarbronchialblockade in bronchopleural fistula. 1992 Anesthesiology DLT 復合 B

20、B肺毛霉菌病的單肺通氣 Successful Use of a Double Lumen Endotracheal Tube and Bronchial Blocker for Lung Isolation in Pulmonary Mucormycosis. 2018 Journal of Cardiothoracic and Vascular AnesthesiaDLT 復合 BB 心外手術(shù)氣道出血Bronchial blocker versus double-lumen tube for lung isolation with massive hemoptysis during card

21、iac surgery. 2013 Journal of Cardiothoracic and Vascular Anesthesia LM （laryngeal mask）+ BBLM+BB - DLT 失敗Differential lung ventilation using laryngeal mask airway and a bronchial blocker tube for a patient with unanticipated difficult intubation. 2007 Masui.LM + BB 氣道腫物Use of the proseal laryngeal m

22、ask airway and arndt bronchial blocker for lung separation in a patient with a tracheal mass and aspiration risk.2010 Journal of Cardiothoracic and Vascular AnesthesiaLM+BB - 氣管切開Lung isolation using a laryngeal mask airway and a bronchial blocker in a patient with a recent tracheostomy. 2008 Journa

23、l of Cardiothoracic and Vascular Anesthesia不良事件BB 尖端被切斷Transection of a Coopdech bronchial blocker tip during bronchial resection for right upper lobectomy: a case report. 2015 Korean Journal of AnesthesiologyResection of the Arndt Bronchial Blocker during stapler resection of the left lower lobe. 2

24、006 Journal of Cardiothoracic and Vascular AnesthesiaBB 尖端扭轉(zhuǎn)The tip fracture of the Coopdech bronchial blocker during insertion in the patient with lung surgery. 2014 Korean Journal of AnesthesiologyBB 尖端折斷Accidental fracture of the tip of the Coopdech bronchial blocker during insertion for one lung

25、 ventilation. 2010 Korean Journal of AnesthesiologyBB 套囊破裂Differential lung ventilation using Fogarty catheter after accidental damage of bronchial blocker cuff. 1999 MasuiA Ballooning Crisis: Three Cases of Bronchial Blocker Malfunction and A Review. 2017 Journal of Cardiothoracic and Vascular Anes

26、thesiaAvulsion of a bronchial blocker cuff in the trachea when using a Parker Flex-Tip endotracheal tube 。 2010 J Cardiothorac Vasc Anesth. BB -肺污染Case report: pulmonary soiling after one-lung ventilation with a bronchial blocker. 2002 Canadian Journal of AnesthesiaBB 低氧血癥Severe hypoxemia after suct

27、ion of the nonventilated lung via the bronchial blocker lumen of the univent tube. 1996 Journal of Cardiothoracic and Vascular AnesthesiaBB - 嚴重低氧血癥 Bronchial blocker for one-lung ventilation： A unanticipated complication2011 Indian J Anaesth氣管支氣管-應(yīng)用 BB 失敗Congenital tracheal bronchus: the inability

28、to isolate the right lung with a univent bronchial blocker tube. 2000 Anesthesia and AnalgesiaRight upper lobe tracheal bronchus: anesthetic challenge in one-lung ventilated patients -A report of three cases-. 2013 Korean Journal of Anesthesiology不良事件其他應(yīng)用BB-取牙Extraction of foreign body with Arndt br

29、onchial blocker. 2015 Revista Espaola de Anestesiologa y ReanimacinBB-高頻通氣High frequency jet ventilation of one lung using a bronchial blocker of Univent during carinal resection. 2010 Journal of korean medical scienceHigh-frequency jet ventilation using the Arndtbronchialblockerfor refractory hypox

30、emia during one-lung ventilation in a myasthenic patient with asthma. 2014 Journal of clinical anesthesiaBB CPAP 聯(lián)合改善低氧Continuous positive airway pressure applied through a bronchial blocker as a treatment for hypoxemia due to stenosis of the left main bronchus. 2009 Anesthesiology其他應(yīng)用Gorham-Stout綜合

31、征：The Gorham-Stout syndrome: one lung ventilation with a bronchial blocker. A case of Gorhams disease with chylothorax.2009 Pediatric Anesthesia支氣管擴張性骨軟骨病Management of one lung ventilation with bronchial blocker catheter for a patient with tracheobronchopathia osteochondroplastica. 2007 Masui微創(chuàng)CABGT

32、he use of a bronchial blocker compared with a double-lumen tube for single-lung ventilation during minimally invasive direct coronary artery bypass surgery. 2002 J Cardiothorac Vasc Anesth.E-Z BBLung isolation using EZ-Blocker bronchial block in a patient during a bilateral endoscopic thoracic sympa

33、thectomy. 2014 Revista Espaola de Anestesiologa y ReanimacinSequential lung isolation using a bronchial blocker (EZ-Blocker) for bilateral dorsal sympathectomy. 2013 Journal of Clinical AnesthesiaSequential bilateral lung isolation with a single bronchial blocker. 2013 A&A Case Reports JournalUse of

34、 Bronchial Blockers for Lung Isolation. 2018 Anasthesiol Intensivmed Notfallmed SchmerztherA 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. 2015 Journal of Cardiothoracic and Vascular AnesthesiaBB優(yōu)點可用于幼兒實現(xiàn)葉、段萎陷易置入，氣道損傷小進 ICU 不用換管缺點萎陷慢貴易移位有被閉合器切割危險DLT優(yōu)點萎陷快費用低到位好缺點不可用于幼兒困難氣道易失敗BB- 定位聽診，光學探條和纖支鏡Placement of the Univen