Simultaneous independent lung ventilation in pediatric patients.
Current methods of ventilation do not allow adequate ventilation of the affected lungs in the presence of unilateral disease, e.g., unilateral atelectasis, diaphragmatic hernia, or lobar emphysema. Using a bilumen endotracheal tube and two independent ventilators, synchronized simultaneous independent lung ventilation (SILV) can be achieved. This technique provides a method of treating unilobar, unilateral, or multifocal lung disease effectively. This article describes the author's methodology and clinical experience with SILV.
Marraro
G
G
Anesthesia and Intensive Care Department, L. Mandic Hospital, Merate, Italy.
D000403:Airway Resistance; D001996:Bronchopneumonia / Q000628:therapy; D001997:Bronchopulmonary Dysplasia / Q000628:therapy; D002496:Central Venous Pressure; D003422:Critical Care / Q000379:methods*; D006548:Hernia, Diaphragmatic / Q000628:therapy; D065630:Hernias, Diaphragmatic, Congenital; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007442:Intubation, Intratracheal / Q000295:instrumentation; D008168:Lung / Q000502:physiology; D008170:Lung Compliance; D008171:Lung Diseases / Q000628:therapy*; D011018:Pneumonia, Pneumococcal / Q000628:therapy; D011030:Pneumothorax / Q000628:therapy; D001261:Pulmonary Atelectasis / Q000628:therapy; D012121:Respiration, Artificial / Q000295:instrumentation / Q000379:methods*