scholarly journals Use of a Fogarty Catheter as a Bronchial Blocker through a Single-lumen Endotracheal Tube in Patients with Subglottic Stenosis

2003 ◽  
Vol 31 (2) ◽  
pp. 214-216 ◽  
Author(s):  
H. P. Park ◽  
J. H. Bahk ◽  
J. H. Park ◽  
Y. S. Oh
Keyword(s):  
Endotracheal Tube ◽  
Lung Ventilation ◽  
Subglottic Stenosis ◽  
Double Lumen Tube ◽  
Bronchial Blocker ◽  
Fogarty Catheter ◽  
One Lung Ventilation ◽  
Double Lumen ◽  
Lumen Tube ◽  
Single Lumen

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.

The Comparative Study of the Single-lumen Tube and Double-lumen Tube in the Blood Gas Analysis for One-lung Ventilation

1994 ◽  
Vol 27 (4) ◽  
pp. 381
Author(s):  
Su Won Kim ◽  
Byung Young Kim ◽  
Myoung Hoon Kong ◽  
Hae Ja Lim ◽  
Byung Kook Chae ◽  
...  
Keyword(s):  
Lung Ventilation ◽  
Blood Gas Analysis ◽  
Gas Analysis ◽  
Double Lumen Tube ◽  
Blood Gas ◽  
One Lung Ventilation ◽  
Double Lumen ◽  
Lumen Tube ◽  
Single Lumen ◽  
The Comparative Study

scholarly journals Difficulty Intubating a Double-Lumen Tube due to a Tracheal Bronchus: A Case Report

2021 ◽  
Author(s):  
Wenzhu Wang ◽  
Ji Li ◽  
Jian Liu ◽  
Chengwei Song ◽  
ya-nan Zhang
Keyword(s):  
Left Lung ◽  
Lung Ventilation ◽  
Double Lumen Tube ◽  
Bronchial Blocker ◽  
Tracheal Bronchus ◽  
One Lung Ventilation ◽  
Double Lumen ◽  
Lumen Tube ◽  
The One ◽  
The Right

Abstract Background: Intubation difficulties, hypoxemia, inability to perform a one-lung ventilation, and high airway pressure often occur during double-lumen tube intubation. Tracheal bronchus is a very rare and difficult to find reason. We present a case of tracheal bronchus accidentally discovered during double-lumen tube intubation in a patient undergoing thoracic surgery. We are the first one to summarize the one-lung ventilation strategy for patients with tracheal bronchus. Case Presentation: A 53-year-old man underwent a scheduled thoracoscopic left upper lobectomy. After two unsuccessful attempts to pass the right-sided double-lumen tube through the right mainstem bronchus, fiberoptic bronchoscopy revealed an aberrant tracheal bronchus with an incidence of 0.1%–3%. Finally we used a left-sided DLT to ventilate the right lung. The patient had no airway complications and was discharged 7 days after the operation.Conclusions: This case serves to remind us that preoperative visits must be thorough and careful. Although a computed tomography chest examination was performed before surgery, we just looked at the inspection report and did not look at the images. We also reviewed relevant literature and summarized the one-lung ventilation strategies for patients with tracheal bronchus. For left-lung ventilation, either a left-sided double-lumen tube or a combination of a bronchial blocker and Fogarty artery embolization catheter can be used. For right-lung ventilation, a bronchial blocker or a left-sided double-lumen tube is a good choice.

scholarly journals ANAESTHETIC MANAGEMENT OF BRONCHOGENIC CYST IN AN INFANT:- A CHALLENGE- A CASE REPORT

2019 ◽  
pp. 1-2
Author(s):  
Garima Anant ◽  
Aman Kaur Saini
Keyword(s):  
Bronchogenic Cyst ◽  
Lung Ventilation ◽  
Female Child ◽  
Anaesthetic Management ◽  
Double Lumen Tube ◽  
One Lung Ventilation ◽  
Double Lumen ◽  
Lumen Tube ◽  
Lung Isolation ◽  
Single Lumen

A double-lumen tube is an endotracheal tube designed to isolate the lungs anatomically and physiologically. Double-lumen tubes are the most commonly used tubes to provide independent ventilation for each lung. One-lung ventilation or lung isolation is the mechanical and functional separation of the 2 lungs to allow selective ventilation of only one lung. The other lung that is not being ventilated passively deates or is displaced by the surgeon to facilitate surgical exposure for non-cardiac operations in the chest such as thoracic, esophageal, aortic and spine procedures. But due to the larger size and more complex design than the single lumen tube (SLT), intubation with a DLT can be a challenge, especially in paediatric patients. We present a case of 2.5 month female child, weighing 3 kgs , diagnosed antenatally by ultrasound with bronchogenic cyst .Left thoracotomy with excision of cyst was the planned surgery for the patient

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