Utilization of an Endobronchial Blocker Through a Double-Lumen Tube as Rescue for Inadequate One-Lung Ventilation

被引:1
作者
Tang, Jonathan E. [1 ,3 ]
Roessner, Colton T. [1 ]
Stocum, Robert D. [1 ]
Stein, Erica J. [1 ]
Essandoh, Michael K. [1 ]
D'Souza, Desmond M. [2 ]
机构
[1] Ohio State Univ, Dept Anesthesiol, Wexner Med Ctr, Columbus, OH USA
[2] Ohio State Univ, Div Thorac Surg, Wexner Med Ctr, Columbus, OH USA
[3] Ohio State Univ, Clin Dept Anesthesiol, Wexner Med Ctr, 410 10th Ave, Columbus, OH 43210 USA
关键词
thoracic surgery; airway management; one-lung ventilation; double-lumen tube; endobronchial blocker; EZ-blocker; cardiothoracic anesthesia; cardiothoracic surgery; thoracic anesthesia; BRONCHIAL BLOCKERS;
D O I
10.1177/10892532241229171
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Failure to provide one-lung ventilation can prohibit minimally invasive thoracic surgeries. Strategies for one-lung ventilation include double-lumen endotracheal tubes or endobronchial blockers, but rarely both. Inability to provide lung isolation after double-lumen endotracheal tube placement requires troubleshooting and sometimes the use of extra equipment. This case describes using a unique Y-shaped endobronchial blocker placed through a left-sided double-lumen endotracheal tube after failure to achieve lung isolation with a double-lumen endotracheal tube alone.
引用
收藏
页码:50 / 53
页数:4
相关论文
共 11 条
[1]  
Campos J., 2019, Principles and practice of anesthesia for thoracic surgery, V1th, P283
[2]  
Campos JH, 2002, ANESTHESIOLOGY, V97, P1295
[3]   Current Practice Issues in Thoracic Anesthesia [J].
Cohen, Edmond .
ANESTHESIA AND ANALGESIA, 2021, 133 (06) :1520-1531
[4]   Pro: The New Bronchial Blockers Are Preferable to Double-Lumen Tubes for Lung Isolation [J].
Cohen, Edmond .
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2008, 22 (06) :920-924
[5]  
Eisenkraft JB., 2017, CLIN ANESTH, P1030
[6]   TRACHEOBRONCHIAL RUPTURES DUE TO CUFFED CARLENS TUBES [J].
GUERNELLI, N ;
BRAGAGLIA, RB ;
BRICCOLI, A ;
MASTRORILLI, M ;
VECCHI, R .
ANNALS OF THORACIC SURGERY, 1979, 28 (01) :66-68
[7]   Airway Rupture Caused by Double-Lumen Tubes: A Review of 187 Cases [J].
Liu, Shiqing ;
Mao, Yuqiang ;
Qiu, Peng ;
Faridovich, Khasanov Anvar ;
Dong, Youjing .
ANESTHESIA AND ANALGESIA, 2020, 131 (05) :1485-1490
[8]  
Rusch T., EZ BLOCKER ENDOBRONC
[9]   Con: The New Bronchial Blockers Are Not Preferable to Double-Lumen Tubes for Lung Isolation [J].
Slinger, Peter .
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2008, 22 (06) :925-929
[10]   Airway Bleeding After Double-Lumen Tube Placement [J].
Tang, Jonathan E. ;
D'Souza, Desmond M. ;
Marshall, Nathan J. ;
Essandoh, Michael K. ;
Kneuertz, Peter J. ;
Iyer, Manoj H. .
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2021, 35 (10) :3132-3134