Bronchial Blocker and Double?Lumen Endotracheal Tube Combination to Facilitate Lung Isolation during Esophagectomy
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Date
2022-06
Authors
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Publisher
Wolters Kluwer - Medknow
Abstract
Lung isolation is an essential anesthetic technique utilized in thoracic surgeries. We present a patient undergoing esophagectomy that developed an iatrogenic injury to the left mainstem bronchus that damaged the bronchial cuff of a left?sided double?lumen endotracheal tube (DLETT). A bronchial blocker (BB) was placed in the tracheal lumen of the DLETT as a rescue method to facilitate continued lung isolation. This unusual combination of a DLETT and a BB proved useful once the bronchial cuff was compromised and may serve as a viable solution to maintain lung isolation in similar circumstances
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Keywords
Bronchial blocker, double?lumen endotracheal tube, esophagectomy, one?lung ventilation
Citation
Liang Hong, Thomas Mathew, Renew J. Ross. Bronchial Blocker and Double?Lumen Endotracheal Tube Combination to Facilitate Lung Isolation during Esophagectomy. Annals of Cardiac Anaesthesia. 2022 Jun; 25(2): 214-216