[Selection of the bronchial tube for one-lung anesthesia by multidetector-row computed tomography (MD CT) evaluation]

Kyobu Geka. 2005 Jul;58(7):549-54.
[Article in Japanese]

Abstract

One-lung anesthesia is a method of anesthesia performed by inserting the tip of a bronchial tube into either the right main bronchus or the left main bronchus. The right bronchial tube is a special structure. Since the distance of the carina to the right upper lobe bronchus is short, a side hole is made to prevent blockading of the right upper lobe bronchus, and the cuff is attached aslant to it. When inserting a bronchial tube into the right main bronchus, care is required to prevent the occurrence of atelectasis though a gap in the bronchial tube. We evaluated the structure of a trachea and a bronchus using the multidetector-row computed tomography (MD CT), and tried to select the right bronchial tube most suitable for each structure. There are individual differences in the structure of a trachea and a bronchus. By creating a 3-dimensional image of a trachea and a bronchus, the structure could be easily grasped, and therefore selection of the most appropriate bronchial tube according to the structure was possible.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • Anesthesia / methods*
  • Bronchi*
  • Bronchography*
  • Female
  • Humans
  • Intubation, Intratracheal / instrumentation*
  • Lung
  • Male
  • Middle Aged
  • Tomography, X-Ray Computed*