Management of bronchopleural fistula with a variable-resistance valve and a single ventilator.
Independent lung ventilation with two ventilators is sometimes used in the management of bronchopleural fistula (BPF). We describe a patient in whom gas flow through a large BPF was initially reduced, and subsequently eliminated, during differential lung ventilation using a single ventilator and a variable-resistance valve attached to one lumen of a bifurcated endotracheal tube.
Carvalho
P
P
Department of Veterans Affairs Medical Center, Boise, Idaho 83702, USA.
Thompson
W H
WH
Riggs
R
R
Carvalho
C
C
Charan
N B
NB
D001983:Bronchial Fistula / Q000628:therapy*; D004867:Equipment Design; D005402:Fistula / Q000628:therapy*; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation; D008173:Lung Diseases, Obstructive / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010995:Pleural Diseases / Q000628:therapy*; D011013:Pneumonectomy / Q000009:adverse effects; D011030:Pneumothorax / Q000601:surgery; D011175:Positive-Pressure Respiration / Q000379:methods; D011312:Pressure; D012121:Respiration, Artificial / Q000379:methods*; D012212:Rheology; D013990:Tidal Volume; D012122:Ventilators, Mechanical