Lobar bronchial blockade in bronchopleural fistula.
A 59-yr-old man with bullous lung disease developed a refractory bronchopleural fistula involving the right upper lobe. Despite independent lung and high-frequency jet ventilation, a large air leak persisted. Following the introduction of a bronchial blocker into the right upper lobe bronchus via the tracheal lumen of a left-sided endobronchial tube, oxygenation and ventilation improved, and the airleak was reduced by 90%. The presence of pneumonia led to an inexorably downhill course with death from overwhelming sepsis.
Otruba
Z
Z
Surgical Intensive Care Unit, Sunnybrook Health Science Centre, Toronto, Ontario, Canada.
Oxorn
D
D
D001983:Bronchial Fistula / Q000628:therapy*; D002245:Carbon Dioxide / Q000097:blood; D002404:Catheterization / Q000379:methods*; D005402:Fistula / Q000628:therapy*; D006611:High-Frequency Jet Ventilation; D006801:Humans; D008168:Lung; D008297:Male; D008875:Middle Aged; D010100:Oxygen / Q000097:blood; D010995:Pleural Diseases / Q000628:therapy*; D011030:Pneumothorax / Q000628:therapy; D011175:Positive-Pressure Respiration
D002245:Carbon Dioxide; D010100:Oxygen