Selective bronchial intubation (SBI) to ventilate a single lung (one-lung ventilation,OLV) or to apply separate lung ventilation (independent-lung ventilation,ILV) can be frequently required under general anesthesia in pediatrics,mainly in video assisted thoracoscopy surgery,in the postoperative care of cardio-thoracic surgery,and for the treatment of lung pathologies with unilateral prevalence in intensive care.In children over 6-8 years of age SBI,OLV and ILV can be performed using marketed double-lumen tubes (DLTs).In neonates,infants and younger children the application ofILV is limited due to the lack of DLTs.For children of this age,a specific DLT for ILV was developed (Marraro Paediatric Endobronchial Bilumen Tube(R)) but is currently available only as a special product.The DLT represents the device of choice for OLV and ILV while the use of bronchial blocker is suggested as an alternative to achieve the SBI and the OLV when suitable DLTs are not available.Different catheters types can be used as bro

作者：Giuseppe A Marraro；马晓路

来源：中国当代儿科杂志 2020 年 22卷 6期