Pediatric anesthesia & critical care
Bronchial Blocker Versus Endobronchial Intubation in Young Children Undergoing One-Lung Ventilation: A Multicenter Retrospective Cohort Study
Authors' conclusion
Endobronchial intubation might be associated with a slightly increased risk of critical airway complications compared to use of a bronchial blocker in young children undergoing thoracic surgery and one-lung ventilation.
Study context
- Population
- Children 2 months to 3 years undergoing OLV, Multicenter Perioperative Outcomes Group database, 2004–2022included in primary analysis
- Participants
- 704 children
- Exposure
- Endobronchial intubation vs bronchial blocker for OLV
- Endobronchial intubationn = 444
- Bronchial blockern = 260reference
- Outcome
- Documented airway complications, moderate and critical
Methodological detailsmulticentre, propensity-score matched
- Multicentre
- Propensity-score matched
Main finding
As reported in the abstract
Moderate airway complications (unadjusted)
P = 0.281
Observational data: associations, not effects.
Further findings
| Outcome | Endobronchial intubation | Bronchial blocker | P value |
|---|---|---|---|
| Critical airway complications (propensity-matched cohort) | 5.8% (95% CI 2.8%–8.7%) | 2.1% (95% CI 0.3%–3.8%) | P = 0.035 |
- Critical airway complications (propensity-matched cohort): propensity-matched cohort, 243 per group
Original publication
Bronchial Blocker Versus Endobronchial Intubation in Young Children Undergoing One-Lung Ventilation: A Multicenter Retrospective Cohort Study. Anesth Analg. Published 12 September 2024. doi:10.
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