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

IF 1.1 Q3 ANESTHESIOLOGY Seminars in Cardiothoracic and Vascular Anesthesia Pub Date : 2024-03-01 Epub Date: 2024-01-31 DOI:10.1177/10892532241229171
Jonathan E Tang, Colton T Roessner, Robert D Stocum, Erica J Stein, Michael K Essandoh, Desmond M D'Souza
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Abstract

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.

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通过双腔管道使用支气管内阻断器作为单肺通气不足的抢救措施
如果不能提供单肺通气,就无法进行微创胸腔手术。单肺通气的策略包括双腔气管插管或支气管内封堵器,但很少同时使用这两种方法。双腔气管导管置入后无法进行肺隔离,需要排除故障,有时还需要使用额外的设备。本病例描述了在仅使用双腔气管导管无法实现肺隔离后,通过左侧双腔气管导管置入独特的 Y 型支气管内阻断器的情况。
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来源期刊
CiteScore
3.60
自引率
14.30%
发文量
31
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