Wire-guided endobronchial blockade in a patient with a limited mouth opening
| Autor: | George A. Arndt, Samantha Buchika, Paul W. Kranner, Stephen T. DeLessio |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Artificial ventilation
Adult medicine.medical_specialty Lung Neoplasms medicine.medical_treatment Mandible Catheterization Pneumonectomy Bronchoscopy medicine Intubation Intratracheal Intubation Fiber Optic Technology Humans Thoracotomy Lung medicine.diagnostic_test business.industry Carcinoma General Medicine Equipment Design respiratory system Temporomandibular Joint Disorders respiratory tract diseases Blockade Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure Bronchoscopes Anesthesia Breathing Female business |
| Zdroj: | Canadian journal of anaesthesia = Journal canadien d'anesthesie. 46(1) |
| ISSN: | 0832-610X |
| Popis: | We report the use of wire-guided endobronchial blockade, a new method of achieving one-lung ventilation, in a patient requiring awake, nasal, fibreoptic intubation for resection of a lung carcinoma.A 43-yr-old woman with limited mouth opening, from severe TMJ dysfunction, required a right thoracotomy for right upper lobe wedge resection. One-lung ventilation was accomplished using a new type of wire-guided endobronchial blocker. The device was placed coaxially through the endotracheal tube using a pediatric bronchoscope through a special bronchoscopy port.Effective one-lung ventilation was achieved using this system. The system may prove advantageous in clinical situations where placement of double lumen endotracheal tubes or Univent tubes is technically impractical or impossible. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink