Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2019.07.002
Brazilian Journal of Anesthesiology
Clinical Information

Will ultrasound replace the stethoscope?: A case report on neonatal one‐lung ventilation

O ultrassom substituirá o estetoscópio?: Relato de caso sobre ventilação monopulmonar neonatal

Adriana Rodrigues, Petra Alves, Carla Hipólito, Helena Salgado

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Abstract

Background and objectives
One‐lung ventilation and selective intubation in neonates can be challenging due to intrinsic physiological specificities and material available. Ultrasound (US) is being increasingly used in many extents of anaesthesiology including confirmation of endotracheal tube position.

Case report
We present a case report of a neonate proposed for pulmonary lobectomy by thoracoscopy in which lung exclusion was confirmed by ultrasound.

Conclusion
US is a rapid, more sensitive and specific method than auscultation to evaluate tracheal intubation and lung exclusion.

Keywords

Neonate; Lung ultrasound; One‐lung ventilation; Video assisted thoracoscopic surgery

Resumo

Justificativa e objetivos
A ventilação monopulmonar e a intubação seletiva em recém‐nascidos podem ser um desafio devido às especificidades fisiológicas intrínsecas e ao material disponível. O aparelho de ultrassom tem sido cada vez mais usado em muitas situações no campo da anestesia, inclusive a confirmação da posição do tubo endotraqueal.

Relato de caso
Apresentamos o relato do caso de um recém‐nascido proposto para lobectomia pulmonar por toracoscopia em que a exclusão pulmonar foi confirmada por ultrassom.

Conclusão
O ultrassom é um método rápido, mais sensível e específico do que a ausculta para avaliar a intubação traqueal e a exclusão pulmonar.

Palavras-chave

Recém‐nascido; Ultrassonografia pulmonar; Ventilação monopulmonar; Cirurgia toracoscópica assistida por vídeo

References

1 T.S. Fabila, S.J. Menghraj One lung ventilation strategies for infants and children undergoing video assisted thoracoscopic surgery Indian J Anaesth., 57 (2013), pp. 339-344

2 L. Kashyap, N. Nisa, A.R. Chowdhury, et al. Safety issues of endobronchial intubation for one‐lung ventilation in video‐assisted thoracoscopic surgery in neonates: can we extubate on the table? Saudi J Anaesth., 11 (2017), pp. 254-255

3 J.S. Nam, I. Park, H. Seo, et al. The use of lung ultrasonography to confirm lung isolation in an infant who underwent emergent video‐assisted thoracoscopic surgery: a case report Korean J Anesthesiol., 68 (2015), pp. 411-414

4 E.H. Chou, E. Dickman, P.Y. Tsou, et al. Ultrasonography for confirmation of endotracheal tube placement: a systematic review and meta‐analysis Resuscitation., 90 (2015), p. 97

5 S.Y. Parab, P. Kumar, J.V. Divatia, et al. A prospective randomized controlled double‐blind study comparing auscultation and lung ultrasonography in the assessment of double lumen tube position in elective thoracic surgeries involving one lung ventilation at a tertiary care cancer institute Korean J Anesthesiol., 72 (2018), pp. 24-31

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Links & Downloads

Braz. J. Anesthesiol.

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