CASE REPORT
Year : 2017 | Volume
: 11 | Issue : 2 | Page : 225--227
Unusual airways management during one-lung ventilation in thoracic surgery
Paolo Primieri, Paolo Ancona, Elisabetta Gualtieri
Department of Anesthesiology and Intensive Care, Catholic University of Rome, Rome, Italy
Correspondence Address:
Paolo Primieri
Department of Anesthesiology and Intensive Care, Catholic University SH of Rome, L.go A. Gemelli 8, Rome 00168
Italy
Airways management in thoracic surgery is usually more difficult than in other surgery. We reported a case of a patient who underwent surgery of evacuation of empyema where after a correct insertion of a left double-lumen tube 37 Fr (DLT), one-lung ventilation was not permitted by the high airways pressure. In fact, the hole of bronchial tip was just against the left bronchial wall retracted probably from inflammatory process. We introduced blindly an Arndt blocker 9 Fr inside the tracheal lumen of DLT until the orifice of the right upper lobe bronchus, the distance was checked before. After the positioning of the blocker, the DLT was pulled up to above the carina, and the single-lung ventilation was permitted. Sometimes, an unusual use of different devices permits to manage complications. In fact, in this case, the Arndt bronchial blocker helps us to solve an important ventilatory problem.
How to cite this article:
Primieri P, Ancona P, Gualtieri E. Unusual airways management during one-lung ventilation in thoracic surgery.Saudi J Anaesth 2017;11:225-227
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How to cite this URL:
Primieri P, Ancona P, Gualtieri E. Unusual airways management during one-lung ventilation in thoracic surgery. Saudi J Anaesth [serial online] 2017 [cited 2023 Mar 22 ];11:225-227
Available from: https://www.saudija.org/article.asp?issn=1658-354X;year=2017;volume=11;issue=2;spage=225;epage=227;aulast=Primieri;type=0 |
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