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Bronchial blocking with a balloon wedge pressure Catheter in a small infant

机译：带气球楔形压力导管的支气管阻挡在一个小婴儿

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摘要

The need for one-lung ventilation has been increasing even in pediatric patients. However, the trachea is so narrow in pediatric patients that ordinary double-lumen tubes can not be used and there have been many reports on devices or measures to block one lung. We report our experience with a female infant weighing 2 kg who had severe chronic lung disease under mechanical ventilation, and underwent left lung lower lobectomy with one-lung ventilation technique. We chose a balloon wedge pressure catheter to block the left main bronchus, because it has a central lumen through which a guide wire can be passed and sucking is available. The infant was in need of continuous ventilation and the catheter was too soft to be inserted directly. We first inserted an 18G catheter of a needle-catheter assemble outside the tracheal tube through which a guide wire was inserted into the left main bronchus with the aid of direct vision of a 2-mm fiberoptic bronchoscope through the tracheal tube, and then inserted the balloon wedge pressure catheter placing it in an appropriate position. One-lung ventilation was successfully achieved and the operative and postoperative course was uneventful.
机译：即使在儿科患者中，对单肺通气的需求也在增加。然而，在小儿患者中，气管如此狭窄，即不能使用普通的双腔管，并且有许多关于装置或措施阻止一个肺的报告。我们向体重2公斤的女性婴儿报告了在机械通气下具有严重慢性肺病的女性婴儿的经验，并进行了一肺通气技术的左肺降低肺切除术。我们选择了一个气球楔形压力导管以阻挡左主支气管，因为它具有中央内腔，可以通过该中心内腔，可通过该中心内腔通过该腔。婴儿需要连续通气，导管太软于直接插入。我们首先插入一个18g导管的针导管组装在气管管外部，借助于通过气管管的直接视觉插入左主支气管中的导丝将导线插入到左主支气管中，然后插入气球楔压导管将其放置在适当的位置。成功实现了一肺通风，手术和术后课程是不行的。

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