{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:01:02Z","timestamp":1753891262593,"version":"3.41.2"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,6,15]],"date-time":"2022-06-15T00:00:00Z","timestamp":1655251200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Selective one-lung ventilation used to optimize neonatal and pediatric surgical conditions is always a demanding task for anesthesiologists, especially during minimally invasive thoracoscopic surgery. This study aims to introduce an ultrasound-guided bronchial intubation and exclusion technique in a pediatric animal model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seven rabbits were anesthetized and airway ultrasound acquisitions were done.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Tracheal tube progression along the trachea to the right bronchus and positioning of the bronchial blocker in the left bronchus were successfully done with consistent ultrasound identification of relevant anatomical structures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The study provided a new application of ultrasound in airway management. More advanced experimental studies are needed since this technique has the potential for translation to pediatric anesthesia.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fmed.2022.869771","type":"journal-article","created":{"date-parts":[[2022,6,15]],"date-time":"2022-06-15T08:05:55Z","timestamp":1655280355000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Ultrasound-Guided Selective Bronchial Intubation: A Feasibility Study in Pediatric Animal Model"],"prefix":"10.3389","volume":"9","author":[{"given":"Sara Hora","family":"Gomes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice","family":"Miranda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Miguel","family":"P\u00eago","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patr\u00edcio S.","family":"Costa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Correia-Pinto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,6,15]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"681","DOI":"10.1111\/j.1460-9592.2011.03585.x","article-title":"Fluoroscopic-assisted endobronchial intubation for single-lung ventilation in infants.","volume":"21","author":"Cohen","year":"2011","journal-title":"Paediatr Anaesth."},{"key":"B2","doi-asserted-by":"publisher","first-page":"808","DOI":"10.1111\/pan.13648","article-title":"Airway management of congenital pulmonary airway malformation resection in neonates and infants: a case cohort study.","volume":"29","author":"Narayanasamy","year":"2019","journal-title":"Paediatr Anaesth."},{"key":"B3","doi-asserted-by":"publisher","first-page":"339","DOI":"10.4103\/0019-5049.118539","article-title":"One lung ventilation strategies for infants and children undergoing video assisted thoracoscopic surgery.","volume":"57","author":"Fabila","year":"2013","journal-title":"Indian J Anaesth."},{"key":"B4","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1093\/bjaed\/mkw047","article-title":"Paediatric lung isolation.","volume":"17","author":"Letal","year":"2017","journal-title":"BJA Educ."},{"key":"B5","doi-asserted-by":"publisher","first-page":"1389","DOI":"10.1213\/ANE.0000000000005077","article-title":"An update on one-lung ventilation in children.","volume":"132","author":"Templeton","year":"2021","journal-title":"Anesth Analg."},{"key":"B6","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1016\/j.bjan.2017.04.016","article-title":"Selective left mainstem bronchial intubation in the neonatal intensive care unit.","volume":"68","author":"Ho","year":"2018","journal-title":"Brazilian J Anesthesiol."},{"key":"B7","doi-asserted-by":"publisher","first-page":"707","DOI":"10.1016\/j.ijporl.2010.03.022","article-title":"Selective fiberoptic left main-stem intubation to treat bronchial laceration in an extremely low birth weight neonate.","volume":"74","author":"Van Dorn","year":"2010","journal-title":"Int J Pediatr Otorhinolaryngol."},{"key":"B8","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1097\/00000539-199808000-00016","article-title":"Bronchial Injury During Lung Isolation in a Pediatric Patient.","volume":"87","author":"Borchardt","year":"1998","journal-title":"Anesth Analg."},{"key":"B9","doi-asserted-by":"publisher","first-page":"615","DOI":"10.1177\/0310057X0203000512","article-title":"Bronchial diameters in children - Use of the fogarty catheter for lung isolation in children.","volume":"30","author":"Tan","year":"2002","journal-title":"Anaesth Intensive Care."},{"key":"B10","doi-asserted-by":"publisher","first-page":"608","DOI":"10.1111\/pan.12896","article-title":"Cricoid and left bronchial diameter in the pediatric population.","volume":"26","author":"Wani","year":"2016","journal-title":"Paediatr Anaesth."},{"key":"B11","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1111\/j.1460-9592.2005.01421.x","article-title":"One lung ventilation in infants and children: Experience with Marraro double lumen tube.","volume":"15","author":"Pawar","year":"2005","journal-title":"Paediatr Anaesth."},{"key":"B12","doi-asserted-by":"publisher","first-page":"543","DOI":"10.7499\/j.issn.1008-8830.1912121","article-title":"Selective bronchial intubation for one-lung ventilation and independent-lung ventilation in pediatric age: state of the art.","volume":"22","author":"Marraro","year":"2020","journal-title":"Zhongguo Dang Dai Er Ke Za Zhi."},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000018262","article-title":"Selective pulmonary lobe isolation with Arndt pediatric endobronchial blocker for an infant: a case report.","volume":"98","author":"Wu","year":"2019","journal-title":"Med (Baltimore)."},{"key":"B14","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1093\/bja\/aeh292","article-title":"Experience with the Arndt paediatric bronchial blocker.","volume":"94","author":"Wald","year":"2005","journal-title":"Br J Anaesth."},{"key":"B15","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1213\/XAA.0000000000001025","article-title":"Differential Lung Ventilation Using a Bronchial Blocker in a Pediatric Patient on Extracorporeal Membrane Oxygenation: a Case Report.","volume":"13","author":"Bhargava","year":"2019","journal-title":"AA Pract."},{"key":"B16","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1111\/pan.12882","article-title":"Bending the rules: a novel approach to placement and retrospective experience with the 5 French Arndt endobronchial blocker in children <2 years.","volume":"26","author":"Templeton","year":"2016","journal-title":"Paediatr Anaesth."},{"key":"B17","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1007\/BF03021821","article-title":"Extraluminal use of the Arndt pediatric endobronchial blocker in an infant: a case report.","volume":"53","author":"Bastien","year":"2006","journal-title":"Can J Anesth."},{"key":"B18","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1213\/XAA.0000000000000970","article-title":"Extraluminal Use of a Pediatric Bronchial Blocker With Confirmation by Point-of-Care Ultrasound.","volume":"13","author":"Adler","year":"2019","journal-title":"A A Pract."},{"key":"B19","doi-asserted-by":"publisher","DOI":"10.1213\/XAA.0000000000001347","article-title":"Bronchial blocker entrapment in a 7-month-old infant: a case report.","volume":"14","author":"Templeton","year":"2020","journal-title":"A A Pract."},{"key":"B20","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-021-01430-6","article-title":"Bronchial rupture following endobronchial blocker placement: a case report of a rare, unfortunate complication.","volume":"21","author":"Oo","year":"2021","journal-title":"BMC Anesthesiol."},{"key":"B21","doi-asserted-by":"publisher","first-page":"350","DOI":"10.1007\/s12630-009-9261-0","article-title":"Accidental fracture of the tip of the Coopdech bronchial blocker during insertion for one lung ventilation.","volume":"57","author":"Venkataraju","year":"2010","journal-title":"Can J Anaesth."},{"key":"B22","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1053\/j.jvca.2010.03.004","article-title":"Avulsion of a bronchial blocker cuff in the trachea when using a Parker Flex-Tip endotracheal tube.","volume":"25","author":"Thomas","year":"2011","journal-title":"J Cardiothorac Vasc Anesth."},{"key":"B23","doi-asserted-by":"publisher","first-page":"1426","DOI":"10.1097\/00000539-199912000-00019","article-title":"Methods for single-lung ventilation in pediatric patients.","volume":"89","author":"Hammer","year":"1999","journal-title":"Anesth Analg."},{"key":"B24","doi-asserted-by":"publisher","first-page":"1003","DOI":"10.1111\/j.1399-6576.2007.01575.x","article-title":"Fluoroscopic guidance of Arndt endobronchial blocker placement for single-lung ventilation in small children.","volume":"52","author":"Marciniak","year":"2008","journal-title":"Acta Anaesthesiol Scand."},{"key":"B25","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1111\/pan.13402","article-title":"Inside out: Repurposing endobronchial intubation to facilitate extraluminal placement of a 5 Fr Arndt bronchial blocker in young infants.","volume":"28","author":"Templeton","year":"2018","journal-title":"Paed Anaesth."},{"key":"B26","doi-asserted-by":"publisher","first-page":"1359","DOI":"10.1080\/14767058.2017.1403581","article-title":"Role of ultrasound in confirmation of endotracheal tube in neonates: a review.","volume":"32","author":"Sharma","year":"2019","journal-title":"J Matern Neonatal Med."},{"key":"B27","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1159\/000338585","article-title":"Ultrasound confirmation of endotracheal tube position in neonates.","volume":"102","author":"Dennington","year":"2012","journal-title":"Neonatology."},{"key":"B28","doi-asserted-by":"publisher","first-page":"514","DOI":"10.1016\/j.bjan.2019.06.014","article-title":"Will ultrasound replace the stethoscope?: a case report on neonatal one\u2212lung ventilation.","volume":"69","author":"Rodrigues","year":"2019","journal-title":"Brazilian J Anesthesiol."},{"key":"B29","doi-asserted-by":"crossref","DOI":"10.1259\/bjr.20190058","article-title":"Ultrasound of the pediatric chest.","volume":"92","author":"Joshi","year":"2019","journal-title":"Br J Radiol."},{"key":"B30","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1111\/pan.13823","article-title":"Airway ultrasound: point of care in children\u2014The time is now.","volume":"30","author":"Daniel","year":"2020","journal-title":"Paediatr Anaesth."},{"key":"B31","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-020-2787-9","article-title":"International evidence-based guidelines on point of care ultrasound (POCUS) for critically ill neonates and children issued by the POCUS working group of the European society of paediatric and neonatal intensive care (ESPNIC).","volume":"24","author":"Singh","year":"2020","journal-title":"Crit Care."},{"key":"B32","doi-asserted-by":"publisher","first-page":"1213","DOI":"10.3892\/etm.2016.3434","article-title":"A novel method for right one-lung ventilation modeling in rabbits.","volume":"12","author":"Xu","year":"2016","journal-title":"Exp Ther Med."},{"key":"B33","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1177\/0003489419870820","article-title":"Validation of Animal Models for Simulation Training in Pediatric Laryngotracheal Reconstruction.","volume":"129","author":"Okhovat","year":"2020","journal-title":"Ann Otol Rhinol Laryngol."},{"key":"B34","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1002\/lary.27288","article-title":"A systematic review of simulated laryngotracheal reconstruction animal models.","volume":"129","author":"Milner","year":"2018","journal-title":"Laryngoscope."},{"key":"B35","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1016\/S0095-5108(18)30211-2","article-title":"Animal models in congenital diaphragmatic hernia.","volume":"23","author":"Wilcox","year":"1996","journal-title":"Clin Perinatol."},{"key":"B36","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1258\/0023677011911714","article-title":"Dimensions of rabbit subglottis and trachea.","volume":"35","author":"Loewen","year":"2001","journal-title":"Lab Anim."},{"key":"B37","doi-asserted-by":"publisher","first-page":"2574","DOI":"10.1002\/lary.23515","article-title":"Subglottic injury: a clinically relevant animal model.","volume":"122","author":"Kelly","year":"2012","journal-title":"Laryngoscope."},{"key":"B38","doi-asserted-by":"publisher","first-page":"204","DOI":"10.1177\/0023677216652342","article-title":"Animal facility videoendoscopic intubation station: tips and tricks from mice to rabbits.","volume":"51","author":"Miranda","year":"2017","journal-title":"Lab Anim."},{"key":"B39","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1213\/ane.0b013e31819240f5","article-title":"Airway management in children: ultrasonography assessment of tracheal intubation in real time?","volume":"108","author":"Marciniak","year":"2009","journal-title":"Anesth Analg."},{"key":"B40","doi-asserted-by":"publisher","first-page":"846","DOI":"10.1007\/s00540-017-2410-7","article-title":"Endotracheal intubation: ultrasound-guided versus fiberscope in patients with cervical spine immobilization.","volume":"31","author":"Moustafa","year":"2017","journal-title":"J Anesth."},{"key":"B41","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1111\/pan.13331","article-title":"Ultrasound-guided blind nasal intubation in a patient with massive oral tumor.","volume":"28","author":"Dubey","year":"2018","journal-title":"Paediatr Anaesth."},{"key":"B42","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1007\/s10877-020-00506-x","article-title":"Ultrasound guided tracheal intubation with a styleted tracheal tube in anticipated difficult airway.","volume":"35","author":"Kundra","year":"2021","journal-title":"J Clin Monit Comput."},{"key":"B43","doi-asserted-by":"crossref","first-page":"2261","DOI":"10.1590\/S0103-84782013005000135","article-title":"Collaterals branches of the aortic arch and its rami in rabbit.","volume":"43","author":"Souza","year":"2013","journal-title":"Ci\u00ean Rural."}],"container-title":["Frontiers in Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2022.869771\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,6,15]],"date-time":"2022-06-15T08:06:09Z","timestamp":1655280369000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fmed.2022.869771\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,15]]},"references-count":43,"alternative-id":["10.3389\/fmed.2022.869771"],"URL":"https:\/\/doi.org\/10.3389\/fmed.2022.869771","relation":{},"ISSN":["2296-858X"],"issn-type":[{"type":"electronic","value":"2296-858X"}],"subject":[],"published":{"date-parts":[[2022,6,15]]},"article-number":"869771"}}