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

Yoshikazu Yamaguchi; Alok Moharir; Candice Burrier; Takeshi Nomura; Joseph D Tobias

doi:10.2147/MDER.S265074

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

Med Devices (Auckl). 2020 Nov 17:13:385-389. doi: 10.2147/MDER.S265074. eCollection 2020.

Authors

Yoshikazu Yamaguchi^{1

2}, Alok Moharir^{1

2}, Candice Burrier^{1

2}, Takeshi Nomura³, Joseph D Tobias^{1

2}

Affiliations

¹ Department of Anesthesiology & Pain Medicine, Nationwide Children's Hospital, Columbus, OH, USA.
² Department of Anesthesiology, The Ohio State University, Columbus, OH, USA.
³ Department of Intensive Care Medicine, Tokyo Women's Medical University, Tokyo, Japan.

Abstract

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: POCUS; lung ultrasound; one-lung ventilation; point-of-care ultrasound; thoracic surgery; ultrasonography.

Publication types

Review