Frontiers in Medicine (Jun 2022)

Ultrasound-Guided Selective Bronchial Intubation: A Feasibility Study in Pediatric Animal Model

  • Sara Hora Gomes,
  • Sara Hora Gomes,
  • Alice Miranda,
  • Alice Miranda,
  • José Miguel Pêgo,
  • José Miguel Pêgo,
  • Patrício S. Costa,
  • Patrício S. Costa,
  • Jorge Correia-Pinto,
  • Jorge Correia-Pinto,
  • Jorge Correia-Pinto

DOI
https://doi.org/10.3389/fmed.2022.869771
Journal volume & issue
Vol. 9

Abstract

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ObjectiveSelective one-lung ventilation used to optimize neonatal and pediatric surgical conditions is always a demanding task for anesthesiologists, especially during minimally invasive thoracoscopic surgery. This study aims to introduce an ultrasound-guided bronchial intubation and exclusion technique in a pediatric animal model.MethodsSeven rabbits were anesthetized and airway ultrasound acquisitions were done.ResultsTracheal tube progression along the trachea to the right bronchus and positioning of the bronchial blocker in the left bronchus were successfully done with consistent ultrasound identification of relevant anatomical structures.ConclusionThe study provided a new application of ultrasound in airway management. More advanced experimental studies are needed since this technique has the potential for translation to pediatric anesthesia.

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