One-lung ventilation (OLV) is a crucial technique in thoracic surgery, enabling effective
lung isolation for procedures such as lung resections, lung-transplant, and the management
of unilateral pulmonary diseases. The development of double-lumen tubes (DLTs) in
1949 by Carlens revolutionized lung separation, providing controlled ventilation of
one lung while the other is deflated. Frank Robertshaw’s modifications in 1962 improved
safety and usability, making DLTs the gold standard for OLV. Modern DLTs, available
as left- and right-sided DLTs, vary in size and material, allowing individual selection
based on patient anatomy and procedure. Correct placement, verified via bronchoscopy,
ensures optimal ventilation and minimizes complications like hypoxemia or airway trauma.
Recent advancements include video-assisted DLTs (e.g., VivaSight), integrating real-time
imaging to simplify placement and reduce the need for additional bronchoscopy.
Bronchial blockers (BBs) offer an
alternative to DLTs, particularly for patients with difficult airways or pediatric
patients. However, BBs require advanced expertise and may dislocate more frequently
than DLTs.
Effective management of intraoperative hypoxemia during OLV includes recruitment maneuvers,
PEEP, CPAP, or in severe cases, extracorporeal membrane oxygenation (" />
Nach der Einführung des ersten Endobronchialtubus im Jahr 1931 und der erfolgreichen
Weiterentwicklung des Doppellumentubus existieren heutzutage zahlreiche alternative
Modelle der seitengetrennten Beatmung. Eine genaue Kenntnis der individuellen Anatomie
des Tracheobronchialsystems sowie Kompetenz in der Anwendung der verschiedenen Modelle
stellen die Grundvoraussetzungen für eine erfolgreiche seitengetrennte Beatmung dar.
One-lung ventilation (OLV) is a crucial technique in thoracic surgery, enabling effective
lung isolation for procedures such as lung resections, lung-transplant, and the management
of unilateral pulmonary diseases. The development of double-lumen tubes (DLTs) in
1949 by Carlens revolutionized lung separation, providing controlled ventilation of
one lung while the other is deflated. Frank Robertshaw’s modifications in 1962 improved
safety and usability, making DLTs the gold standard for OLV. Modern DLTs, available
as left- and right-sided DLTs, vary in size and material, allowing individual selection
based on patient anatomy and procedure. Correct placement, verified via bronchoscopy,
ensures optimal ventilation and minimizes complications like hypoxemia or airway trauma.
Recent advancements include video-assisted DLTs (e.g., VivaSight), integrating real-time
imaging to simplify placement and reduce the need for additional bronchoscopy.
Bronchial blockers (BBs) offer an
alternative to DLTs, particularly for patients with difficult airways or pediatric
patients. However, BBs require advanced expertise and may dislocate more frequently
than DLTs.
Effective management of intraoperative hypoxemia during OLV includes recruitment maneuvers,
PEEP, CPAP, or in severe cases, extracorporeal membrane oxygenation (" />
| {{detailinfo.data.api.data.document[0].zeitschrift}} {{detailinfo.data.api.data.document[0].untertitel}}, {{detailinfo.data.api.data.document[0].verlag}} Heft {{detailinfo.data.api.data.document[0].monat}}-{{detailinfo.data.api.data.document[0].jahr}}, Jahrgang ({{detailinfo.data.api.data.document[0].jahrgang}}) ISSN {{detailinfo.data.api.data.document[0].issn}} Seite(n) {{detailinfo.data.api.data.document[0].seite}} DOI: {{detailinfo.data.api.data.document[0].doi}} CareLit-Dokument-Nr: {{detailinfo.data.api.data.document[0].dokument_nr}} Login für Volltext kostenlos registrieren |
{{detailinfo.data.api.data.document[0].abstract}}
{{detailinfo.data.api.data.document[0].apa}}
{{detailinfo.data.api.data.document[0].vancouver}}
{{detailinfo.data.api.data.document[0].harvard}}