Selektivní intubace a ventilace plic v anestezii dětí

Selective intubation and ventilation of the lungs in pediatric anesthesia

The paper present two methods of selective intubation and ventilation of pediatric lungs during anesthesia for thoracoscopic or surgical proceduresin thoracic cavity. One method is a combination of endobronchial and endotracheal intubation with two tubes; the other one implements obturationof bronchus of operated lung with angioplastic catheter balloon. Both methods meet the expectations i.e. the lung collapsed and could be eventuallyisolated. Parameters of selective pediatric lung ventilation are derived from the values for common ventilation, needs for correction are minimal. Thepaper shows that the method implementing bronchus obturation is more perspective because it is technically less demanding and could be used inpre-school children, too.

Key words:
selective intubation of a pediatric patient – selective ventilation of a pediatric patient – pediatric thoracic surgery – thoracoscopy