A novel technique for endobronchial blocker placement for one-lung ventilation in children under 2 years

2018 ◽  
Vol 62 (6) ◽  
pp. 765-772
Author(s):  
X. Guo ◽  
X. Song ◽  
X. Chen ◽  
W. Liu ◽  
H. Wang ◽  
...  
Keyword(s):  
Lung Ventilation ◽  
One Lung Ventilation ◽  
Novel Technique ◽  
Endobronchial Blocker

scholarly journals Successful one-lung ventilation by blocking the right intermediate bronchus in a 7-year-old child: a case report

2019 ◽  
Vol 47 (6) ◽  
pp. 2740-2745
Author(s):  
Seung Youp Baek ◽  
Jin Hwan Kim ◽  
Goo Kim ◽  
Jin Ho Choi ◽  
Chang Young Jeong ◽  
...  
Keyword(s):  
Endotracheal Tube ◽  
Main Bronchus ◽  
Left Lung ◽  
Lung Ventilation ◽  
Surgical Excision ◽  
One Lung Ventilation ◽  
Lower Lung ◽  
Endobronchial Blocker ◽  
Surgical Field ◽  
The Right

A 7-year-old child underwent surgical excision of a benign mesothelioma of the pleura near the right lower lung. Although insertion of a wire-reinforced endotracheal tube through the left main bronchus was attempted for one-lung ventilation to secure the surgical field of view, the attempt failed. Therefore, an endotracheal tube was inserted into the trachea, and an Arndt endobronchial blocker (Cook Medical, Bloomington, IN, USA) was placed in the right intermediate bronchus under bronchoscopic guidance to selectively block the right lower and middle lobes. The surgery was performed while ventilating the right upper lobe and left lung, and no specific intraoperative adverse events occurred.

Airway Injuries after One-lung Ventilation: A Comparison between Double-lumen Tube and Endobronchial Blocker

2006 ◽  
Vol 105 (3) ◽  
pp. 471-477 ◽  
Author(s):  
Heike Knoll ◽  
Stephan Ziegeler ◽  
Jan-Uwe Schreiber ◽  
Heiko Buchinger ◽  
Patric Bialas ◽  
...  
Keyword(s):  
Vocal Cord ◽  
Sore Throat ◽  
Lung Ventilation ◽  
Double Lumen Tube ◽  
Cumulative Number ◽  
One Lung Ventilation ◽  
Double Lumen ◽  
Lumen Tube ◽  
Endobronchial Blocker ◽  
The Impact

Background Vocal cord injuries, postoperative hoarseness, and sore throat are common complications after general anesthesia. One-lung ventilation can be achieved via two techniques: double-lumen endotracheal tube or endobronchial blocker such as the Arndt blocker. The current study was designed to assess the impact of these techniques for one-lung ventilation on the incidence and severity of postoperative hoarseness, vocal cord lesions, and sore throat. Methods In this prospective trial, 60 patients were randomly assigned to two groups. One-lung ventilation was achieved with either an endobronchial blocker (blocker group) or a double-lumen-tube (double-lumen group). Postoperative hoarseness and sore throat were assessed at 24, 48, and 72 h after surgery. Bronchial injuries and vocal cord lesions were examined by bronchoscopy immediately after surgery. Results In 56 included patients, postoperative hoarseness occurred significantly more frequently in the double-lumen group compared with the blocker group: 44% versus 17%, respectively (P = 0.046). Similar findings were observed for vocal cord lesions: 44% versus 17%, respectively (P = 0.046). The incidence of bronchial injuries was comparable between groups (P = 0.540). Cumulative number of days with hoarseness and sore throat were significantly increased in the double-lumen group compared with the blocker group (P < 0.01). No major complications such as bronchial ruptures were observed. Conclusions Clinicians should be aware of an increased incidence of minor airway injuries that may impair patient satisfaction when using a double-lumen tube instead of an endobronchial blocker for one-lung ventilation.

scholarly journals An alternative for one lung ventilation in an adult horse requiring thoracotomy

2012 ◽  
Vol 81 (2) ◽  
pp. 98-101
Author(s):  
M. Gozalo-Marcilla ◽  
S. Schauvliege ◽  
S. Torfs ◽  
M. Jordana
Keyword(s):  
Endotracheal Tube ◽  
Surgical Procedure ◽  
Main Bronchus ◽  
Lung Ventilation ◽  
Left Main Bronchus ◽  
Left Main ◽  
One Lung Ventilation ◽  
Endoscopic Guidance ◽  
Endobronchial Blocker

In order to provide one lung ventilation in an anesthetized adult horse undergoing thoracoscopy and exploratory thoracotomy, an alternative to the described techniques was developed using a homemade endobronchial blocker construction. An orifice (with a diameter of 1 cm) was made 15 cm distally to the proximal end of a standard 28 mm ID endotracheal tube (ETT) allowing the placement of a standard broncho-alveolar catheter. The adapted ETT was advanced up to the larynx in the anesthetized horse. Prior to the intubation of the trachea, the broncho-alveolar catheter was passed through the ETT and positioned into the left main bronchus under endoscopic guidance. If it would have been required, the cuff of the broncho-alveolar catheter could have been inflated, allowing OLV. However, one lung ventilation was not required during the surgical procedure.

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