ONE-LUNG VENTILATION DURING CHEST OPERATIONS IN CHILDREN WITH ONCOLOGICAL DISEASES

Cover Page


Cite item

Full Text

Abstract

Treatment of children with mediastinal and pulmonary tumors is a pressing issue both in surgery and in anesthesiology. Currently, a growing number of the tumors can be removed with video-assisted thoracoscopic surgery (VATS) due to the development and introduction of modern technologies.

From the anesthetic management point of view, the issues of providing optimal conditions for a surgery such as complete collapse of the lung on the operated part in adequate oxygenation and effective transport of oxygen to the tissues and protection of the contralateral lung from the blood and tumour detritis are brought to the forefront.

Adequate anesthetic management in thoracic oncological surgery is a very important factor which determines a patient’s safety increasing treatment quality and reducing the duration of hospitalization. 

About the authors

L. A. Martynov

N.N. Blokhin Research Cancer Center

Author for correspondence.
Email: leonid.martynov@gmail.com

Anesthesiologist-reanimatologist of the Department of Anaesthesiology and Reanimation of Blokhin Russian Cancer Research Center (RCRC) of the Ministry of Health of Russia, Pediatric Oncology and Hematology Research Institute,

Kashirskoye highway, 24, Moscow

Россия

N. V. Matinyan

N.N. Blokhin Research Cancer Center;
Pirogov Russian National Research Medical University

Email: fake@neicon.ru

Dr Sci. (Med.), Prof., Leading Researcher of the Department of Anaesthesiology and Reanimation of Blokhin Russian Cancer Research Center (RCRC) of the Ministry of Health of Russia, Pediatric Oncology and Hematology Research Institute, Kashirskoye highway, 24, Moscow;

Pediatric anesthesiology and intensive care department, Pirogov Russian National Research Medical University, Ostrovityanova str., 1, Moscow

Россия

A. V. Sotnikov

N.N. Blokhin Research Cancer Center

Email: fake@neicon.ru

Dr Sci. (Med.), Head of the Department of Anaesthesiology and Reanimation of Blokhin Russian Cancer Research Center (RCRC) of the Ministry of Health of Russia, Pediatric Oncology and Hematology Research Institute,

Kashirskoye highway, 24, Moscow

Россия

References

  1. Erginel B., Soysal F. G., Keskin E. et al. Pulmonary metastasectomy in pediatric patients. World J Surg Oncol. 2015; 14: 27.
  2. Rodriguez M. A., Lugo-Vicente H. Pulmonary metastasectomy for children with malignant tumors. BolAsoc Med P R. 2012 Jul-Sep;104(3):35–40.
  3. Fuchs J., Seitz G., Handgretinger R., Schäfer J., Warmann S. W. Surgical treatment of lung metastases in patients with embryonal pediatric solid tumors: an update. SeminPediatr Surg. 2012 Feb;21(1):79–87.
  4. Falzon D., Alston R. P., Coley E., Montgomery K. Lung Isolation for Thoracic Surgery: From Inception to EvidenceBased. J Cardiothorac Vasc Anesth. 2017 Apr;31(2):678–693. doi: 10.1053/j.jvca.2016.05.032. Epub 2016 May 20.
  5. Hammer G. B. Single-lung ventilation in infants and children. Pediatric Anesthesia. 2004;14: 98–102. doi:10.1046/ j.1460–9592.2003.01197.x.
  6. Fabila T. S., Menghraj S. J. One lung ventilation strategies for infants and children undergoing video assisted thoracoscopic surgery. Indian J Anaesth. 2013 Jul-Aug; 57(4): 339–344. doi: 10.4103/0019–5049.118539.
  7. Neustein S. M. Pro: bronchial blockers should be used routinely for providing one-lung ventilation. J Cardiothorac Vasc Anesth. 2015 Feb;29(1):234–6. doi: 10.1053/j.jvca.2014.07.028. Epub 2014 Oct 31.
  8. Knoll H., Ziegeler S., Schreiber J. U. et al. Airway injuries after one-lung ventilation: a comparison between doublelumen tube and endobronchial blocker. Anesthesiology 2006; 105:471–477.
  9. Saracoglu A., Saracoglu K. T. VivaSight: a new era in the evolution of tracheal tubes. J Clin Anesth. 2016 Sep;33:442–9. doi: 10.1016/j.jclinane.2016.04.034. Epub 2016 Jun 28.
  10. Neustein S. M. The use of bronchial blockers for providing one-lung ventilation. J Cardiothorac Vasc Anesth 2009; 23:860–868.
  11. Levine M., Slinger P. Single-lung ventilation in pediatrics. Can J Anesth 2002;49:221–225.
  12. Campos J. H. Lung isolation techniques for patients with difficult airway. CurrOpinAnaesthesiol. 2010;23:12–7.
  13. Campos J. H. Which device should be considered the best for lung isolation: Double-lumen endotracheal tube versus bronchial blockers? CurrOpinAnaesthesiol. 2007;20:27–31.
  14. Slinger P. Con: the new bronchial blockers are not preferable to double-lumen tubes for lung isolation. J Cardiothorac Vasc Anesth 2008; 22:925–929.
  15. Bauer C. et al. Bronchial blocker compared to DLT for one-lung ventilation during thoracoscopy. ActaAnaesthesiolScand 2001;45:250–254.
  16. Cohen E. The Cohen flexitip endobronchial blocker: an alternative to a double lumen tube. Anesth Analg 2005; 101:1877–1879.
  17. Ruetzler K., Grubhofer G., Schmid W. et al. Randomized clinical trial comparing double-lumen tube and EZ-Blocker for single-lung ventilation. Br J Anaesth 2011; 106:896–902.
  18. Kus A., Hosten T., Gurkan Y., Gul Akgul A., Solak M., Toker K. A comparison of the EZ-Blocker with a Cohen Flex-Tip Blocker for One-Lung Ventilation. J Cardiothorac Vasc Anesth. 2014 Aug;28(4):896–9. doi: 10.1053/j.jvca.2013.02.006. Epub 2013 Aug 16.
  19. Arndt G. A., DeLessio S.T., Kranner P. W. et al. One-lung ventilation when intubation is difficult– presentation of a new endobronchial blocker. Acta Anaesthesiol Scand 1999; 43:356–358.
  20. Purohit A., Bhargava S., Mangal V., Parashar V. K. Lung isolation, one-lung ventilation and hypoxaemia during lung isolation. Indian J Anaesth 2015;59:606-17.
  21. Narayanaswamy M., McRae K., Slinger P., Dugas G., Kanellakos G. W., Roscoe A., Lacroix M. Choosing a lung isolation device for thoracic surgery: a randomized trial of three bronchial blockers versus double-lumen tubes. AnesthAnalg. 2009 Apr;108(4):1097–101.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2018 Martynov L.A., Matinyan N.V., Sotnikov A.V.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: ПИ № ФС 77 - 81892 от 24.09.2021 г.