title: Application of wire-guided endobronchial blocker for one-lung ventilation in patient with tracheostomy--a case report.
abstract: One-lung ventilation (OLV) with a double-lumen endotracheal tube or Univent may be achieved difficulty in morbidly obese, mouth opening-limited or critically ill patients. Now, a new fiberoptically directed wire-guided endobronchial blocker (WEB) can be applied for these conditions. We report the use of a new endobronchial blocker in a pharyngeal cancer patient after pharyngectomy. The original 10# Shiley endotracheal tube was exchanged with reinforced cuffed tracheal tube. Then we use the WEB to achieve OLV. The WEB was guided by a loop, and through the appropriate position of left main bronchus by pediatric fiberoptic bronchoscope. Finally, OLV was accomplished smoothly with combination of a non-kinking endotracheal tube and a WEB.
authors.affiliation: Department of Anesthesiology, Chang-Gung Memorial Hospital, Kwei-shan, Taoyuan, 333, Taiwan, R.O.C. liuhp@adm.cgmh.org.tw
authors.forename: Hung-Pin
authors.initials: HP
authors.lastname: Liu
authors.forename: Chi-Lun
authors.initials: CL
authors.lastname: Yu
authors.forename: Angie C
authors.initials: AC
authors.lastname: Ho
authors.forename: Chi-Hou
authors.initials: CH
authors.lastname: Chung
authors.forename: Chian-Lang
authors.initials: CL
authors.lastname: Hong
authors.forename: Ming-Wen
authors.initials: MW
authors.lastname: Yang
authors.forename: Hsiang-Ning
authors.initials: HN
authors.lastname: Luk
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D010610:Pharyngeal Neoplasms / Q000601:surgery; D010611:Pharyngectomy; D012121:Respiration, Artificial / Q000295:instrumentation / Q000379:methods*; D014139:Tracheostomy