Tracheobronchial angles in children: Three‐dimensional computed tomography‐based measurements

Wani, Tariq; Buchh, Basharat; AlGhamdi, Faris; Jan, Ravees; Tumin, Dmitry; Tobias, Joseph D.

doi:10.1111/pan.13377

Cited by 9 publications

(8 citation statements)

References 15 publications

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“…La tráquea se divide a nivel de la carina en bronquio fuente derecho, más ancho y corto, y bronquio fuente izquierdo, el cuál tiene aproximadamente el doble de largo y es más angosto (7)(8)(9). Además, el bronquio fuente derecho emerge antes que el izquierdo y tiene un grado de inclinación menor con respecto a la tráquea, razones por las cuales es el sitio que con mayor frecuencia encontramos un cuerpo extraño o donde tienden a ocurrir mono-intubaciones (7,10,11). Luego, la vía aérea se divide de manera dicotómica en 23 generaciones, lo cual puede variar en los distintos individuos.…”

Section: áRbol Traqueobronquialunclassified

Contribución De La Estructura De La Vía Aérea Y El Pulmón a La Función Del Aparato Respiratorio

Sánchez¹,

Concha²

2021

Neumol Pediatr

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Conocer la estructura del sistema respiratorio es fundamental para comprender cómo realiza sus funciones, desde la principal, el intercambio gaseoso, hasta otras funciones no respiratorias tales como el equilibrio ácido-base, fonación, defensa pulmonar, metabolismo pulmonar y procesamiento de materiales bioactivos. El objetivo de esta revisión es describir los conocimientos actuales de la anatomía del aparato respiratorio y mencionar sus funciones tanto respiratorias como no respiratorias.

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Section: áRbol Traqueobronquialunclassified

Contribución De La Estructura De La Vía Aérea Y El Pulmón a La Función Del Aparato Respiratorio

Sánchez¹,

Concha²

2021

Neumol Pediatr

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“…[22][23][24][25] More recently, several studies have used high-resolution CT to better characterize the anatomy of the lower airway from the glottis down to the left and right mainstem bronchi. [26][27][28][29][30] Anatomic considerations relevant for the execution of OLV in children include, first, the left mainstem bronchus is smaller than the right mainstem bronchus in children, so an ETT that is appropriate for the right mainstem bronchus may ultimately be too large to enter the left mainstem bronchus. Further, the size of the left mainstem bronchus in children 0-3 months old may even be too small to accommodate a 3.0 uncuffed ETT.…”

Section: The Left Mainstem Bronchus Is Consistently Smallermentioning

confidence: 99%

An Update on One-Lung Ventilation in Children

Templeton

Piccioni

Chatterjee

2020

Anesthesia &Amp; Analgesia

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One-lung ventilation in children continues to present technical and sometimes physiologic challenges to the clinician. The rarity of these cases at any single institution, however, has led to very few prospective trials to guide best practices. As a result, most clinicians continue to be guided by local tradition and preference. That said, the development of new bronchial blockers such as the EZ-Blocker or blocking devices such as the Univent tube have continued to evolve the practice of lung isolation in children. Further, the development of a variety of extraluminal blocker techniques has led to innovations in practice through a relatively diverse landscape of published case series offering different approaches to one-lung ventilation during the past 15 years. The Arndt bronchial blocker continues to represent the most well documented of these devices. Additionally, recent advances have occurred in our understanding of the relevant anatomic constraints of the lower pediatric airway. This review is intended to provide a comprehensive and practical update to practicing pediatric anesthesiologists to further their understanding of the modern practice of one-lung ventilation for thoracic surgery in children.

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“…Thank you for your interest in our manuscript, which was recently published in the Pediatric Anesthesia . We appreciate your thoughtful review and comments regarding our work.…”

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confidence: 92%

Reply to Galante, Dario, regarding their comment ‘Tracheobronchial angles in children: Can it change during anesthesia?’

Wani

Tobias

2018

Pediatric Anesthesia

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Tracheobronchial angles in children: Three‐dimensional computed tomography‐based measurements

Abstract: According to computed tomography-based 3-dimensional imaging, right and left bronchial angles are virtually identical in children up to 8 years of age, and the difference between right and left bronchial angles does not vary with age in this population.

Cited by 9 publications

References 15 publications

Contribución De La Estructura De La Vía Aérea Y El Pulmón a La Función Del Aparato Respiratorio

Contribución De La Estructura De La Vía Aérea Y El Pulmón a La Función Del Aparato Respiratorio

An Update on One-Lung Ventilation in Children

Reply to Galante, Dario, regarding their comment ‘Tracheobronchial angles in children: Can it change during anesthesia?’

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