支气管封堵器的临床应用

支气管封堵器的临床应用赵雪莲河北医科大学第四医院支气管封堵器-中国知网010203040506070篇数篇数76；2003-2018支气管封堵器-中国知网0510152025303540~2005~2010~2015~2018篇数篇数BronchialBlocker(BB)——PubMedClinicalTrial281996–20181/yBronchialBlocker(BB)——PubMedCaseReport103人-102；动物-1。1983–2018CaseReport0510152025303540~1990~1995~2000~2005~2010~2015~2018篇数篇数BB•BB始于1936，Magill在胸科手术中使用末端带气囊的长管封堵支气管，后改进与单腔气管导管配合使用。（带套囊尿管）•现BB不断有新品面世。BB类型ArndtBBCohenBBTCBUniventBBFujiBBEZBBCoopdechBBBB：困难气道DLT的板凳队员•Onelungventilationincaseswithunsuccessfuldouble-lumenendobronchialintubation.1993Chinesejournalofanesthesiology•Independentplacementofabronchialblockerforsingle-lungventilation:analternativemethodforthedifficultairway.1996Anesthesia&Analgesia•UseoftheUniventSystemtubefordifficultintubationandforachievingone-lunganaesthesia.1996ActaAnaesthesiologicaScandinavica•Lungisolationtechniquesforpatientswithdifficultairway.2010Currentopinioninanaesthesiology•One-lungventilationinapatientwithstentingfortracheobronchialstenosiscausedbyesophagealcancer.2011JournalofClinicalAnesthesia•UseoftheCoopdechBronchialBlockerasatrachealtubeintroducerinapatientwithdifficultlaryngoscopy.2010JournalofClinicalAnesthesiaBB-小儿•Anaestheticmanagementforaleftpneumonectomyinachildwithbronchopleuralfistula.2000PediatricAnesthesia•One-lunganesthesiawassuccessfullymaintainedbymeansofFogartyCatheterininfant.2002Masui•LungisolationinachildwithunilateralnecrotizingClostridiumperfringenspneumonia.2005criticalcaremedicine•Casereportofusingaconnector(phyconTCBbronchialblocker)forpediatricone-lunganesthesia.2007Masui•Singlelungventilationinayoungchildforrepairofcoarctationofaorta.2010JournaloftheCollegeofPhysiciansandSurgeons--Pakistan•Alternativemethodsoflungisolationincasesofpediatricbilateralthoracoscopicsurgery.2016PediatricAnesthesiaBB-常规应用（单肺通气）BronchialBlockerVersusLeftDouble-LumenEndotrachealTubeforOne-LungVentilationinRightVideo-AssistedThoracoscopicSurgery.2018JournalofCardiothoracicandVascularAnesthesiaLungIsolationforThoracicSurgery:FromInceptiontoEvidence-Based.2017ReviewJournalofCardiothoracicandVascularAnesthesiaAComparisonoftheEfficacyandAdverseEffectsofDouble-LumenEndobronchialTubesandBronchialBlockersinThoracicSurgery:ASystematicReviewandMeta-analysisofRandomizedControlledTrials.2015JournalofCardiothoracicandVascularAnesthesiaAnupdateonbronchialblockersduringlungseparationtechniquesinadults.2003Anesthesia&AnalgesiaBB-肺叶，肺段隔离SegmentalLungIsolationinaPostpneumonectomyPatientUndergoingContralateralLungResection.2017JournalofCardiothoracicandVascularAnesthesiaLungisolationinpatientswithpreviouslungresections:SelectivesequentiallobarblockadeusingaFujiUniblocker®endobronchialblocker.2016RevistaEspañoladeAnestesiologíayReanimaciónUpdateonselectivelobarblockadeduringpulmonaryresections.2009CurrentOpinioninAnesthesiologySequentiallobar-lung-lobarisolationusingadeflectingtipbronchialblocker.2006JournalofclinicalanesthesiaAProspectiveComparisonofIntraluminalandExtraluminalPlacementofthe9-FrenchArndtBronchialBlockerinAdultThoracicSurgeryPatients.2017JournalofCardiothoracicandVascularAnesthesia成人胸外科患者9-FArndt支气管阻封堵器腔内和腔外置入的前瞻性比较。•腔外方法放置的时间显著缩短，•术后喉咙痛的发生率没有任何差异。•无论是在腔内还是在腔外，大部分支气管内阻滞器至少需要一次术中重新定位。BB-用于气管出血止血Useofbronchialblockerinemergentthoracotomyinpresenceofupperairwayhemorrhage,andcervicalspinefracture:adifficultdecision.2018RevistaBrasileiradeAnestesiologiaExperienceofhemostasisintrachealbleedingveryclosetothecarinabythebronchialblocker:acasereport.2016KoreanJournalofAnesthesiologySuccessfulmanagementofatraumapatientwithpulmonaryhemorrhageusingawire-guidedbronchialblocker.2007TheJournalofTrauma:Injury,Infection,andCriticalCare.BB-用于阻断单侧肺漏气Managementoftraumaticpneumothoraxwithmassiveairleakage:roleofabronchialblocker:acasereport.2014KoreanJournalofAnesthesiologyBB治疗肺血栓取栓术后大咯血ManagementofMassiveHemoptysisAfterPulmonaryThromboembolectomyUsingaDoubleBronchialBlockerSystem.2017JournalofCardiothoracicandVascularAnesthesiaBB-支气管残端瘘Twosuccessfulcasesinthetreatmentofpost-operativebronchialstumpfistulae.2005AnnalsofThoracicandCardiovascularSurgeryBB-气管切开后置入单肺通气ExtraluminalPlacementofanArndtBronchialBlockerThroughaTrachealStoma.2016JournalofCardiothoracicandVascularAnesthesiaExsanguinatingtuberculosis-relatedhemoptysis:bronchialblockerintroducedthroughpercutaneoustracheostomy.2009MinervaAnestesiologicaFoleycatheterusedasbronchialblockerforonelungventilationinapatientwithtracheostomy--acasereport.1995ActaanaesthesiologicaSinicaBB-病态肥胖患者Lungseparationinthemorbidlyobesepatient.2012AnesthesiolResPractBB-气道巨大肿物Successfulone-lungventilationusingabronchialblockertubeforalargetrachealcarcinomaresection.2017JClinAnesth.DLT+BBDLT复合BB弥补DLT隔离不全Failureoflungisolationbyadouble-lumenendotrachealtuberescuedbytheconcomitantuseofanarndtbronchialblockerunderdirectvisualization.2013A&ACaseReportsJournalDLT复合BB——长期吸烟，气道分泌物多的肺叶切除AnestheticManagementofSimultaneousRightLobectomyandEsophagectomywithaDouble-lumenTrachealTubeandBronchialBlocker.2016MasuiDLT复合BB——肺感染肺叶切除Combinationofadouble-lumentrachealtubeandbronchialblockerforapatientwit