Point-of-Care Lung Ultrasound to Evaluate Lung Isolation During One-Lung Ventilation in Children: Narrative Review

Abstract

Yoshikazu Yamaguchi,1,2 Alok Moharir,1,2 Candice Burrier,1,2 Takeshi Nomura,3 Joseph D Tobias1,2 1Department of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, Columbus, OH, USA; 2Department of Anesthesiology, The Ohio State University, Columbus, OH, USA; 3Department of Intensive Care Medicine, Tokyo Women’s Medical University, Tokyo, JapanCorrespondence: Yoshikazu YamaguchiDepartment of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USATel [phone]Fax [phone]Email [email protected]: This review focuses on the current technique and evidence regarding the use of point-of-care ultrasound (POCUS) to evaluate lung isolation for thorax surgery in infants and children. Previous reports in infants and children are presented. Figures and high-quality video are used to demonstrate the technique for POCUS in pediatric patients and to highlight differences between pediatric and patients. Lung sliding in B-mode and the seashore sign in M-mode suggest that the lung is ventilated. Pediatric anesthesiologists should be familiar with this technique as it is non-invasive and may also be more accurate when compared with auscultation.Keywords: one-lung ventilation, point-of-care ultrasound, POCUS, thoracic surgery, lung ultrasound, ultrasonography

Keywords

• one-lung ventilation
• point-of-care ultrasound
• pocus
• thoracic surgery
• lung ultrasound
• ultrasonography