支氣管封堵器的臨床應(yīng)用VIP

1、支氣管封堵器的臨床應(yīng)用支氣管封堵器的臨床應(yīng)用精選課件支氣管封堵器支氣管封堵器 -中國知網(wǎng)中國知網(wǎng)010203040506070期刊期刊國內(nèi)會議國內(nèi)會議研究生論文研究生論文國際會議國際會議篇數(shù)篇數(shù)篇數(shù)76；2003-2018精選課件支氣管封堵器支氣管封堵器 -中國知網(wǎng)中國知網(wǎng)0510152025303540 2005 2010 2015 2018篇數(shù)篇數(shù)篇數(shù)精選課件精選課件精選課件Bronchial Blocker (BB)PubMedlClinical Trial281996 20181/y精選課件Bronchial Blocker (BB)PubMedlCase Report103人人-10

2、2；動物；動物-1。1983 2018精選課件Case Report0510152025303540 1990 1995 2000 2005 20102015 2018篇數(shù)篇數(shù)篇數(shù)精選課件BB BB 始于始于1936，Magill 在胸科手術(shù)中使用末端帶氣囊的長管在胸科手術(shù)中使用末端帶氣囊的長管封堵支氣管，后改進(jìn)與單腔氣管導(dǎo)管配合使用。（帶套囊封堵支氣管，后改進(jìn)與單腔氣管導(dǎo)管配合使用。（帶套囊尿管）尿管） 現(xiàn)現(xiàn) BB 不斷有新品面世。不斷有新品面世。精選課件BB 類型類型Arndt BBCohen BBTCB Univent BBFuji BBE Z BB Coopdech BB精選課件BB：

3、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 Anesthesia & AnalgesiaUse of the

4、 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 for tracheobronchial sten

5、osis 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 精選課件BB-小兒Anaesthetic management for a left pneumonectomy in a child with bronchopleu

6、ral 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 connector (phycon TCB bro

7、nchial 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 thoracoscopic surgery . 2016

8、Pediatric Anesthesia精選課件BB-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 Evidence-Based. 2017

9、 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 Cardiothoracic and Vascula

10、r AnesthesiaAn update on bronchial blockers during lung separation techniques in adults. 2003 Anesthesia & Analgesia精選課件BB-肺葉，肺段隔離肺葉，肺段隔離Segmental Lung Isolation in a Postpneumonectomy Patient Undergoing Contralateral Lung Resection. 2017 Journal of Cardiothoracic and Vascular AnesthesiaLung iso

11、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

12、r-lung-lobar isolation using a deflecting tip bronchial blocker. 2006 Journal of clinical anesthesia精選課件A 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 Anesthes

13、ial 成人胸外科患者成人胸外科患者9-F Arndt支氣管阻支氣管阻封堵器封堵器腔內(nèi)和腔外腔內(nèi)和腔外置置入入的前瞻性比較的前瞻性比較。腔外腔外方法方法放置的時間顯著放置的時間顯著縮短縮短，術(shù)后喉嚨痛術(shù)后喉嚨痛的發(fā)生率沒有任何差異的發(fā)生率沒有任何差異。無論無論是在腔內(nèi)還是在腔外是在腔內(nèi)還是在腔外，大部分大部分支氣管內(nèi)阻滯支氣管內(nèi)阻滯器器至少需要一次術(shù)至少需要一次術(shù)中重新定位。中重新定位。精選課件BB-用于氣管出血止血用于氣管出血止血Use of bronchial blocker in emergent thoracotomy in presence of upper airway hemor

14、rhage, and cervical spine fracture: a difficult decision. 2018 Revista Brasileira de AnestesiologiaExperience 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 pulm

15、onary hemorrhage using a wire-guided bronchial blocker. 2007 The Journal of Trauma: Injury, Infection, and Critical Care.BB-用于阻斷單側(cè)肺漏氣用于阻斷單側(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

16、咯血治療肺血栓取栓術(shù)后大咯血Management of Massive Hemoptysis After Pulmonary Thromboembolectomy Using a Double Bronchial Blocker System. 2017 Journal of Cardiothoracic and Vascular Anesthesia精選課件BB- 支氣管殘端瘺支氣管殘端瘺Two successful cases in the treatment of post-operative bronchial stump fistulae. 2005 Annals of Thorac

17、ic and Cardiovascular SurgeryBB-氣管切開后置入單肺通氣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 Cardiothoracic and Vascular AnesthesiaExsanguinating tuberculosis-related hemoptysis: bronchial blocker introduced through percutaneous tracheostomy. 2

18、009 Minerva AnestesiologicaFoley catheter used as bronchial blocker for one lung ventilation in a patient with tracheostomy-a case report. 1995 Acta anaesthesiologica SinicaBB-病態(tài)肥胖患者病態(tài)肥胖患者Lung separation in the morbidly obese patient. 2012 Anesthesiol Res PractBB-氣道巨大腫物氣道巨大腫物Successful one-lung vent

19、ilation using a bronchial blocker tube for a large tracheal carcinoma resection. 2017 J Clin Anesth.精選課件DLT + BBDLT 復(fù)合復(fù)合 BB 彌補(bǔ)彌補(bǔ) DLT 隔離不全隔離不全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

20、mp;A Case Reports JournalDLT 復(fù)合復(fù)合 BB 長期吸煙，氣道分泌物多的肺葉切除長期吸煙，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 Bronchial Blocker. 2016 MasuiDLT 復(fù)合復(fù)合 BB 肺感染肺葉切除肺感染肺葉切除Combination of a double-lumen tracheal tube and bronchial blocker

21、for a patient with continuous bleeding due to invasive lung infection. 2015 Journal of Clinical Anesthesia精選課件DLT + BBDLT 復(fù)合復(fù)合 BB 心外手術(shù)氣道出血心外手術(shù)氣道出血Bronchial blocker versus double-lumen tube for lung isolation with massive hemoptysis during cardiac surgery. 2013 Journal of Cardiothoracic and Vascular

22、Anesthesia DLT 復(fù)合復(fù)合 BB肺毛霉菌病的單肺通氣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(fù)合復(fù)合 BB -支氣管胸膜瘺支氣管胸膜瘺Lobar bronchial blockade in bronchopleural fistula. 1992 An

23、esthesiology 精選課件LM （laryngeal mask）+ BBLM+BB - DLT 失敗失敗Differential lung ventilation using laryngeal mask airway and a bronchial blocker tube for a patient with unanticipated difficult intubation. 2007 Masui.LM + BB 氣道腫物氣道腫物Use of the proseal laryngeal mask airway and arndt bronchial blocker for lu

24、ng separation in a patient with a tracheal mass and aspiration risk.2010 Journal of Cardiothoracic and Vascular AnesthesiaLM+BB - 氣管切開氣管切開Lung isolation using a laryngeal mask airway and a bronchial blocker in a patient with a recent tracheostomy. 2008 Journal of Cardiothoracic and Vascular Anesthes

25、ia精選課件不良事件BB 尖端被切斷尖端被切斷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. 2006 Journal of Cardiothoracic an

26、d Vascular AnesthesiaBB 尖端扭轉(zhuǎn)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 尖端折斷尖端折斷Accidental fracture of the tip of the Coopdech bronchial blocker during insertion for one lung ventilation. 2010 Korea

27、n Journal of AnesthesiologyBB 套囊破裂套囊破裂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 AnesthesiaAvulsion of a

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

29、e nonventilated lung via the bronchial blocker lumen of the univent tube. 1996 Journal of Cardiothoracic and Vascular AnesthesiaBB - 嚴(yán)重低氧血癥嚴(yán)重低氧血癥 Bronchial blocker for one-lung ventilation： A unanticipated complication2011 Indian J Anaesth氣管支氣管氣管支氣管-應(yīng)用應(yīng)用 BB 失敗失敗Congenital tracheal bronchus: the inab

30、ility 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不良事件不良事件精選課件其他應(yīng)用BB-取牙取牙Extraction of foreign bo

31、dy with 2015 Revista Espaola de Anestesiologa y ReanimacinBB-高頻通氣高頻通氣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 Arndt bronchial blocker for refractory hypoxem

32、ia during one-lung ventilation in a myasthenic patient with asthma. 2014 Journal of clinical anesthesiaBB CPAP 聯(lián)合改善低氧聯(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精選課件其他應(yīng)用其他應(yīng)用Go

33、rham-Stout綜合征：綜合征：The Gorham-Stout syndrome: one lung ventilation with a bronchial blocker. A case of Gorhams disease with chylothorax.2009 Pediatric Pediatric AnesthesiaAnesthesia支氣管擴(kuò)張性骨軟骨病支氣管擴(kuò)張性骨軟骨病Management of one lung ventilation with bronchial blocker catheter for a patient with tracheobroncho

34、pathia osteochondroplastica. 2007 Masui微創(chuàng)微創(chuàng)CABGThe 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.精選課件E-Z BBLung isolation using EZ-Blocker bronchial block in a

35、patient during a bilateral endoscopic thoracic sympathectomy. 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 br

36、onchial blocker. 2013 A&A Case Reports Journal精選課件Use of 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

37、and Meta-analysis of Randomized Controlled Trials. 2015 Journal of Cardiothoracic and Vascular Anesthesia可用于幼兒可用于幼兒實現(xiàn)葉、段萎陷實現(xiàn)葉、段萎陷易置入，氣道損傷小易置入，氣道損傷小進(jìn)進(jìn) ICU 不用換管不用換管萎陷慢萎陷慢貴貴易移位易移位有被閉合器切割危險有被閉合器切割危險BB萎陷快萎陷快費用低費用低到位好到位好不可用于幼兒不可用于幼兒困難氣道易失敗困難氣道易失敗DLT精選課件BB- 定位定位聽診，光學(xué)探條和纖支鏡聽診，光學(xué)探條和纖支鏡 Placement of the Univent tube without fiberoptic bronchoscope assistance. 2010 A A