Use of a Fogarty embolectomy catheter as a bronchial blocker through a single-lumen endotracheal tube in a patient with tracheal narrowing
DOI:
https://doi.org/10.18203/2320-6012.ijrms20252159Keywords:
Bronchial blocker, ETT, Fogarty embolectomy catheter, One lung ventilation, Tracheal narrowingAbstract
Techniques for single lung ventilation include a double-lumen tube, Univent or a bronchial blocker. However, the larger outer diameter of double-lumen or Univent tubes may pose problem in its passage through an area of subglottic stenosis or tracheal narrowing. Here, we report our experience in a case of tracheal narrowing due to extraluminal compression by mediastinal mass in which a Fogarty embolectomy catheter was used as a bronchial blocker through a single lumen endotracheal tube (ETT). Fogarty embolectomy catheter may be a suitable option for one lung ventilation (OLV) in tracheal narrowing, where there is limitation to use double lumen tube or Univent tube.
Metrics
References
Wang K, Atul C, Mehta J. Flexible Bronchoscopy. 3rd ed. Chichester, John Wiley Sons. 2012;262. DOI: https://doi.org/10.1002/9781444346428
Ginsberg RJ. New technique for one-lung anesthesia using an endobronchial blocker. J Thorac Cardiovasc Surg. 1981;82(4):542-6. DOI: https://doi.org/10.1016/S0022-5223(19)39292-X
Turner MW, Buchanan CC, Brown SW. Paediatric one lung ventilation in the prone position. Paediatr Anaesth. 1997;7(5):427-9. DOI: https://doi.org/10.1046/j.1460-9592.1997.d01-103.x
Hasegawa N, Sawamura S, Hagihara R, Hanaoka K. Anesthetic management of a patient with gunshot injury in the neck and the chest. Masui. 2001;50(3):281-3.
Hammer GB, Brodsky JB, Redpath JH, Cannon WB. The Univent tube for single-lung ventilation in paediatric patients. Paediatr Anaesth. 1998;8(1):55-7. DOI: https://doi.org/10.1046/j.1460-9592.1998.00691.x
Larson CE, Gasior TA. A device for endobronchial blocker placement during one-lung anesthesia. Anesth Analg. 1990;71(3):311-2. DOI: https://doi.org/10.1213/00000539-199009000-00026
Zilberstein M, Katz RI, Levy A, Reyes R, Poppers PJ. An improved method for introducing an endobronchial blocker. J Cardiothorac Vasc Anesth. 1990;4(4):481-3. DOI: https://doi.org/10.1016/0888-6296(90)90296-R
Arndt GA, Buchika S, Kranner PW, DeLessio ST. Wire-guided endobronchial blockade in a patient with a limited mouth opening. Can J Anesth. 1999;46(1):87-9. DOI: https://doi.org/10.1007/BF03012521
Newton JR, Grillo HC, Mathisen DJ. Main bronchial sleeve resection with pulmonary conservation. Ann Thorac Surg. 1991;52(6):1272-80. DOI: https://doi.org/10.1016/0003-4975(91)90012-F
Bragg CL, Vukelich GR. Endotracheal tube extension for endobronchial intubation. Anesth Analg 1989;69(4):548-9. DOI: https://doi.org/10.1213/00000539-198910000-00027
Downloads
Published
How to Cite
Issue
Section
