Indikation zur seitengetrennten Intubation und Beatmung
Conference paper
Zusammenfassung
Die seitengetrennte, endobronchiale Intubation und seitenunabhängige Beatmung zur Sicherung und Aufrechterhaltung eines suffizienten Gasaustausches kann als u. U. lebensrettende Notfallmaßnahme angezeigt sein (Abb. 1) [19]. Ihre klassische Indikation hat sie als geplantes Vorgehen zur Anästhesie bei thoraxchirurgischen Eingriffen [2, 23, 29]. In jüngster Zeit findet sie auch in der Intensivmedizin Anwendung bei der Langzeitbeatmung respiratorisch insuffizienter Patienten [4–9, 17, 21, 24, 27, 28].
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Literatur
- 1.Benumof JL (1982) One-lung-ventilation: Which lung should be PEEPed? Anesthesiology 56: 161–163PubMedCrossRefGoogle Scholar
- 2.Björk VO, Carlens E (1950) The prevention of spread during pulmonary resection by use of a double lumen catheter. J Thorac Surg 20: 151PubMedGoogle Scholar
- 3.Carlon GC, Ray C, Klein R, Goldinger PL, Miodownik S (1978) Criteria for selective positive endexspiratory pressure and independent synchronized ventilation of each lung. Chest 74: 501PubMedCrossRefGoogle Scholar
- 4.Carlon GC, Kahn R, Howland WS, et al. (1978) Acute life threatening ventilation-perfusion inequality: An indication for independent lung ventilation. Crit Care Med 6: 380PubMedCrossRefGoogle Scholar
- 5.Gallagher J, Banner MJ, Smith RA (1980) A simplified method of independent lung ventilation. Crit Care Med 8: 396PubMedCrossRefGoogle Scholar
- 6.Glass DD, Tonessen AS, Gabel JC, Arens JF (1976) Therapy of unilateral pulmonary insufficiency with a double lumen endotracheal tube. Crit Care Med 4: 323PubMedCrossRefGoogle Scholar
- 7.Hartenauer U (1982) Seitengetrennte Beatmung. In: Lawin P, Wendt M (Hrsg) Das Thorax-trauma. Bibliomed, Melsungen, S 207–216Google Scholar
- 8.Hartenauer U, Wendt M, Lawin P, Reinhold P (1981) Treatment of unilateral pulmonary insufficiency with a double lumen endotracheal tube. Crit Care Med 9: 189CrossRefGoogle Scholar
- 9.Hillman KM, Barber JD (1980) Asynchronous independent lung ventilation ( ALV ). Crit Care Med 8: 390PubMedCrossRefGoogle Scholar
- 10.Kanarek DJ, Shannon DC (1975) Adverse effect of positive endexspiratory pressure on pulmonary perfusion and artierial oxygenation. Am Rev Respir Dis 112: 457PubMedGoogle Scholar
- 11.Katz JA, Laverne RG, Fairley HB, Thomas AN (1982) Pulmonary oxygen exchange during endobronchial anesthesia: Effect of tidal volume and PEEP.Google Scholar
- 12.Kerr JH, Crampton Smith A, Rrys-Roberts C, et al (1974) Observations during endobronchial anaesthesia II: Oxygenation. Br J Anaesth 46: 84–92PubMedCrossRefGoogle Scholar
- 13.Kirby RR, Downs JB, Civetta JM, et al (1975) High level positive endexspiratory pressure ( PEEP) in acute respiratory insufficiency. Chest 67: 156PubMedCrossRefGoogle Scholar
- 14.Labrousse J, Tenaillon A, Sezille JC, Lonchal J, Morin C (1980) Independent lung ventilation: Synchronization of 2 respirators. Intensive Care Med 6: 66Google Scholar
- 15.Nemes C, Niemer M, Noack G (1979) Datenbuch, Anaesthesiologie. Fischer, Stuttgart New York, S 311Google Scholar
- 16.Pace NL, Westenkow DR, East TD (1981) Differential pulmonary mechanics and gas exchange following unilateral aspiration pneumonitis in dogs. Crit Care Med 9: 189CrossRefGoogle Scholar
- 17.Powner DJ, Eross B, Grenvik A (1977) Differential lung ventilation with PEEP in the treatment of unilateral pneumonia. Crit Care Med 5: 170PubMedCrossRefGoogle Scholar
- 18.Read RC, Friday CD, Eason CN (1977) Prospective Study of the Robertshaw endobronchial catheter in thoracic surgery. Ann Thorac Surg 24: 156PubMedCrossRefGoogle Scholar
- 19.Reinhold P, Hartenauer U (1982) Anwendung von Doppellumentuben in der Notfalltherapie. In: Schildberg FW, de Pay AW (Hrsg) Atemstörungen im Rettungsdienst. Perimed, Erlangen, S 227–232Google Scholar
- 20.Reinhold P, Heller K (1982) „Bronchocath“ — ein neuer Doppellumentubus zur seitendifferenten Beatmung. Anästh Intensivther Notfallmed 17: 106–107Google Scholar
- 21.Rivara D, Bourgain JL, Rieuf P, Harf A, Lemaire F (1979) Differential ventilation in unilateral lung disease: Effects on respiratory mechanics and gas exchange. Intensive Care Med 5: 189PubMedCrossRefGoogle Scholar
- 22.Robertshaw FL (1962) Low resistance doublelumen tubes. Br J Anaesth 34: 576PubMedCrossRefGoogle Scholar
- 23.Robertshaw FL (1980) Anaesthesia for pulmonary surgery. In: Gray TC, Nunn JF, Utting JE (eds) General anaesthesia 4th edn, vol 2. London, Butterworths, pp 1325–1349Google Scholar
- 24.Schulte am Esch J, Keiser R, Horstmann R (1982) Zur Indikation des endobronchialen Doppellumentubus in der Intensivbehandlung einseitiger Lungenkomplikationen. Anaesthesist 31: 400–407Google Scholar
- 25.Suter PM, Fairley HB, Isenberg MD (1975) Optimum endexspiratory airway pressure in patients with acute pulmonary failure. N Engl J Med 292: 284PubMedCrossRefGoogle Scholar
- 26.Torda TA, McCulloch CH, O’Brien HD, et al (1974) Pulmonary venous admixture during one-lung-anaesthesia. Anaesthesia 29: 272–279PubMedCrossRefGoogle Scholar
- 27.Trew F, Warren BR, Potter WA, et al. (1977) Differential lung ventilation in man. Crit Care Med 5: 170–172CrossRefGoogle Scholar
- 28.Venus B, Pratap KS, Op’Tholt T (1980) Treatment of unilateral pulmonary insufficiency by selective administration of continuous positive airway pressure through a double-lumen tube. Anesthesiology 52: 74–77CrossRefGoogle Scholar
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