Point-of-Care Lung Ultrasound to Evaluate Lung Isolation During One-Lung Ventilation in Children: Narrative Review

• Main Authors: Yamaguchi Y, Moharir A, Burrier C, Nomura T, Tobias JD
• Format: Article
• Language: English
• Published: Dove Medical Press 2020-11-01
• Series: Medical Devices : Evidence and Research
• Subjects: one-lung ventilation; point-of-care ultrasound; pocus; thoracic surgery; lung ultrasound; ultrasonography
• Online Access: https://www.dovepress.com/point-of-care-lung-ultrasound-to-evaluate-lung-isolation-during-one-lu-peer-reviewed-article-MDER
• ISSN: 1179-1470

Yoshikazu Yamaguchi,1,2 Alok Moharir,1,2 Candice Burrier,1,2 Takeshi Nomura,3 Joseph D Tobias1,2 1Department of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, Columbus, OH, USA; 2Department of Anesthesiology, The Ohio State University, Columbus, OH, USA; 3Department of Intensive Care Medicine, Tokyo Women’s Medical University, Tokyo, JapanCorrespondence: Yoshikazu YamaguchiDepartment of Anesthesiology & Pain Medicine, Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USATel [phone]Fax [phone]Email [e-mail]: This review focuses on the current technique and evidence regarding the use of point-of-care ultrasound (POCUS) to evaluate lung isolation for thorax surgery in infants and children. Previous reports in infants and children are presented. Figures and high-quality video are used to demonstrate the technique for POCUS in pediatric patients and to highlight differences between pediatric and patients. Lung sliding in B-mode and the seashore sign in M-mode suggest that the lung is ventilated. Pediatric anesthesiologists should be familiar with this technique as it is non-invasive and may also be more accurate when compared with auscultation.Keywords: one-lung ventilation, point-of-care ultrasound, POCUS, thoracic surgery, lung ultrasound, ultrasonography