Airway management during anesthesia for double-lung transplantation using a single-lumen endotracheal tube with an enclosed bronchial blocker

1992 ◽  
Vol 6 (2) ◽  
pp. 204-207 ◽  
Author(s):  
Mark S. Scheller ◽  
Jolene M. Kriett ◽  
Cecilia M. Smith ◽  
Stuart W. Jamieson
2019 ◽  
Vol 13 (6) ◽  
pp. 236-239
Author(s):  
Natalie S. Lui ◽  
Haiwei Henry Guo ◽  
Arthur W. Sung ◽  
Ashley Peterson ◽  
Vivekanand N. Kulkarni

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Javier H. Campos ◽  
Kenichi Ueda

Lung separation techniques in the morbidly obese patient undergoing thoracic or esophageal surgery may be at risk of complications during airway management. Access to the airway in the obese patient can be a challenge because they have altered airway anatomy, including a short and redundant neck, limited neck extension and accumulation of fat deposition in the pharyngeal wall contributing to difficult laryngoscopy. Securing the airway is the first priority in these patients followed by appropriate techniques for lung separation with the use of a single-lumen endotracheal tube and a bronchial blocker or another alternative is with the use of a double-lumen endotracheal tube. This review is focused on the use of lung isolation devices in the obese patient. The recommendations are based upon scientific evidence, case reports or personal experience. Fiberoptic bronchoscopy must be used to place and confirm proper placement of a single-lumen endotracheal tube, bronchial blocker or double-lumen endotracheal tube.


2003 ◽  
Vol 31 (2) ◽  
pp. 214-216 ◽  
Author(s):  
H. P. Park ◽  
J. H. Bahk ◽  
J. H. Park ◽  
Y. S. Oh

One-lung ventilation can be achieved with a double-lumen tube or a bronchial blocker. However, the larger outer diameters of double-lumen or Univent tubes may prevent their passage through an area of subglottic stenosiss. We present five cases of subglottic stenosis in which a Fogarty catheter was used as a bronchial blocker through a single-lumen endotracheal tube. The outer diameters of a double-lumen tube, Univent tube and single-lumen tube were compared. Despite special equipment designed for one-lung ventilation, the use of a bronchial blocker through a single-lumen tube, which has the thinnest available wall thickness, seems to be one of the most effective and safest ways of achieving one-lung ventilation in patients with subglottic stenosis or narrowing.


Cureus ◽  
2019 ◽  
Author(s):  
Vivian Hernandez-Torres ◽  
Robert Ratzlaff ◽  
Mathew Thomas ◽  
Tathagat Narula ◽  
Archer K Martin

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