支气管封堵器的临床应用

1、支气管封堵器的临床应用支气管封堵器的临床应用精选课件支气管封堵器支气管封堵器 -中国知网中国知网010203040506070期刊期刊国内会议国内会议研究生论文研究生论文国际会议国际会议篇数篇数篇数76；2003-2018精选课件支气管封堵器支气管封堵器 -中国知网中国知网0510152025303540 2005 2010 2015 2018篇数篇数篇数精选课件精选课件精选课件Bronchial Blocker (BB)PubMedlClinical Trial281996 20181/y精选课件Bronchial Blocker (BB)PubMedlCase Report103人人-10

2、2；动物；动物-1。1983 2018精选课件Case Report0510152025303540 1990 1995 2000 2005 20102015 2018篇数篇数篇数精选课件BB BB 始于始于1936，Magill 在胸科手术中使用末端带气囊的长管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。（带套囊封堵支气管，后改进与单腔气管导管配合使用。（带套囊尿管）尿管） 现现 BB 不断有新品面世。不断有新品面世。精选课件BB 类型类型Arndt BBCohen BBTCB Univent BBFuji BBE Z BB Coopdech BB精选课件BB：

3、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 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 精选课件BB-小儿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精选课件BB-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 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精选课件BB-肺叶，肺段隔离肺叶，肺段隔离Segmental Lung Isolation in a Postpneumonectomy Patient Undergoing Contralateral Lung Resection. 2017 Journal of Cardiothoracic and Vascular AnesthesiaLung iso

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精选课件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支气管阻支气管阻封堵器封堵器腔内和腔外腔内和腔外置置入入的前瞻性比较的前瞻性比较。腔外腔外方法方法放置的时间显著放置的时间显著缩短缩短，术后喉咙痛术后喉咙痛的发生率没有任何差异的发生率没有任何差异。无论无论是在腔内还是在腔外是在腔内还是在腔外，大部分大部分支气管内阻滞支气管内阻滞器器至少需要一次术至少需要一次术中重新定位。中重新定位。精选课件BB-用于气管出血止血用于气管出血止血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-用于阻断单侧肺漏气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

16、咯血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 Journal of Cardiothoracic and Vascular Anesthesia精选课件BB- 支气管残端瘘支气管残端瘘Two successful cases in the treatment of post-operative bronchial stump fistulae. 2005 Annals of Thorac

17、ic and Cardiovascular SurgeryBB-气管切开后置入单肺通气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 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-病态肥胖患者病态肥胖患者Lung separation in the morbidly obese patient. 2012 Anesthesiol Res PractBB-气道巨大肿物气道巨大肿物Successful one-lung vent

19、ilation using a bronchial blocker tube for a large tracheal carcinoma resection. 2017 J Clin Anesth.精选课件DLT + BBDLT 复合复合 BB 弥补弥补 DLT 隔离不全隔离不全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

20、mp;A Case Reports JournalDLT 复合复合 BB 长期吸烟，气道分泌物多的肺叶切除长期吸烟，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 Bronchial Blocker. 2016 MasuiDLT 复合复合 BB 肺感染肺叶切除肺感染肺叶切除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精选课件DLT + BBDLT 复合复合 BB 心外手术气道出血心外手术气道出血Bronchial blocker versus double-lumen tube for lung isolation with massive hemoptysis during cardiac surgery. 2013 Journal of Cardiothoracic and Vascular

22、Anesthesia DLT 复合复合 BB肺毛霉菌病的单肺通气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 复合复合 BB -支气管胸膜瘘支气管胸膜瘘Lobar bronchial blockade in bronchopleural fistula. 1992 An

23、esthesiology 精选课件LM （laryngeal mask）+ BBLM+BB - DLT 失败失败Differential lung ventilation using laryngeal mask airway and a bronchial blocker tube for a patient with unanticipated difficult intubation. 2007 Masui.LM + BB 气道肿物气道肿物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 - 气管切开气管切开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精选课件不良事件BB 尖端被切断尖端被切断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. 2006 Journal of Cardiothoracic an

26、d Vascular AnesthesiaBB 尖端扭转尖端扭转The tip fracture of the Coopdech bronchial blocker during insertion in the patient with lung surgery. 2014 Korean Journal of AnesthesiologyBB 尖端折断尖端折断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. 精选课件BB -肺污染肺污染Case report: pulmonary soiling after one-lung ventilation with a bronchial blocker. 2002 Canadian Journal of AnesthesiaBB 低氧血症低氧血症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 - 严重低氧血症严重低氧血症 Bronchial blocker for one-lung ventilation： A unanticipated complication2011 Indian J Anaesth气管支气管气管支气管-应用应用 BB 失败失败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选课件其他应用BB-取牙取牙Extraction of foreign bo

31、dy with 2015 Revista Espaola de Anestesiologa y ReanimacinBB-高频通气高频通气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 Arndt bronchial blocker for refractory hypoxem

32、ia during one-lung ventilation in a myasthenic patient with asthma. 2014 Journal of clinical anesthesiaBB CPAP 联合改善低氧联合改善低氧Continuous positive airway pressure applied through a bronchial blocker as a treatment for hypoxemia due to stenosis of the left main bronchus. 2009 Anesthesiology精选课件其他应用其他应用Go

33、rham-Stout综合征：综合征：The Gorham-Stout syndrome: one lung ventilation with a bronchial blocker. A case of Gorhams disease with chylothorax.2009 Pediatric Pediatric AnesthesiaAnesthesia支气管扩张性骨软骨病支气管扩张性骨软骨病Management of one lung ventilation with bronchial blocker catheter for a patient with tracheobroncho

34、pathia osteochondroplastica. 2007 Masui微创微创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.精选课件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精选课件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可用于幼儿可用于幼儿实现叶、段萎陷实现叶、段萎陷易置入，气道损伤小易置入，气道损伤小进进 ICU 不用换管不用换管萎陷慢萎陷慢贵贵易移位易移位有被闭合器切割危险有被闭合器切割危险BB萎陷快萎陷快费用低费用低到位好到位好不可用于幼儿不可用于幼儿困难气道易失败困难气道易失败DLT精选课件BB- 定位定位听诊，光学探条和纤支镜听诊，光学探条和纤支镜 Placement of the Univent tube without fiberoptic bronchoscope assistance. 2010 A A