支气管封堵器的临床应用

1、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76；2003-2018支气管封堵器 -中国知网Bronchial Blocker (BB)PubMedClinical Trial281996 20181/yBronchial Blocker (BB)PubMedCase Report103人-102；动物-1。1983 2018Case ReportBBBB 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Arndt BBCohen BBTCB Univent B

2、BFuji BBE Z BB Coopdech BBBB：困难气道DLT 的板凳队员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-小儿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-常规应用（单肺通气）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-肺叶，肺段隔离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-用于阻断单侧肺漏气Management of traumatic pneumothorax with massive air leakage: role of a bronchial blocker: a case report. 2014 Korean Journal of Anesthesiology BB 治疗肺血栓取栓术后大咯血Management of Massive Hemoptysis After Pulmonary Thromboembolectomy Using a Double Bronchial Blocker System. 2017

15、Journal of Cardiothoracic and Vascular AnesthesiaBB- 支气管残端瘘Two successful cases in the treatment of post-operative bronchial stump fistulae. 2005 Annals of Thoracic and Cardiovascular SurgeryBB-气管切开后置入单肺通气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-病态肥胖患者Lung separationin themorbidlyobesepatient. 2012 Anesthesiol Res PractBB-气道巨大肿物Successful one-lung ventilation using a bronchial blocker tube for a large tracheal carcinoma resection. 2017 J Clin Anesth.DLT + BBDLT 复合 BB 肺感染肺叶切除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 复合 BB 长期吸烟，气道分泌物多的肺叶切除Anesthetic Management of Simultaneous Right Lobectomy and Esophagectomy with a Double-lumen Tracheal Tube and BronchialBlocker. 2016 MasuiDLT

19、复合 BB 弥补 DLT 隔离不全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 复合 BB -支气管胸膜瘘Lobarbronchialblockade in bronchopleural fistula. 1992 Anesthesiology DLT 复合 B

20、B肺毛霉菌病的单肺通气 Successful Use of a Double Lumen Endotracheal Tube and Bronchial Blocker for Lung Isolation in Pulmonary Mucormycosis. 2018 Journal of Cardiothoracic and Vascular AnesthesiaDLT 复合 BB 心外手术气道出血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 失败Differential lung ventilation using laryngeal mask airway and a bronchial blocker tube for a patient with unanticipated difficult intubation. 2007 Masui.LM + BB 气道肿物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 - 气管切开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 尖端被切断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 尖端扭转The tip fracture of the Coopdech bronchial blocker during insertion in the patient with lung surgery. 2014 Korean Journal of AnesthesiologyBB 尖端折断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 低氧血症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 - 严重低氧血症 Bronchial blocker for one-lung ventilation： A unanticipated complication2011 Indian J Anaesth气管支气管-应用 BB 失败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不良事件其他应用BB-取牙Extraction of foreign body with Arndt br

29、onchial blocker. 2015 Revista Espaola de Anestesiologa y ReanimacinBB-高频通气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 联合改善低氧Continuous positive airway pressure applied through a bronchial blocker as a treatment for hypoxemia due to stenosis of the left main bronchus. 2009 Anesthesiology其他应用Gorham-Stout综合

31、征：The Gorham-Stout syndrome: one lung ventilation with a bronchial blocker. A case of Gorhams disease with chylothorax.2009 Pediatric Anesthesia支气管扩张性骨软骨病Management of one lung ventilation with bronchial blocker catheter for a patient with tracheobronchopathia osteochondroplastica. 2007 Masui微创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优点可用于幼儿实现叶、段萎陷易置入，气道损伤小进 ICU 不用换管缺点萎陷慢贵易移位有被闭合器切割危险DLT优点萎陷快费用低到位好缺点不可用于幼儿困难气道易失败BB- 定位听诊，光学探条和纤支镜Placement of the Univen