Application of wire-guided endobronchial blocker for one-lung ventilation in patient with tracheostomy--a case report.
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.
Liu
Hung-Pin
HP
Department of Anesthesiology, Chang-Gung Memorial Hospital, Kwei-shan, Taoyuan, 333, Taiwan, R.O.C. liuhp@adm.cgmh.org.tw
Yu
Chi-Lun
CL
Ho
Angie C
AC
Chung
Chi-Hou
CH
Hong
Chian-Lang
CL
Yang
Ming-Wen
MW
Luk
Hsiang-Ning
HN
D000368:Aged; D006801:Humans; D008297:Male; D010610:Pharyngeal Neoplasms / Q000601:surgery; D010611:Pharyngectomy; D012121:Respiration, Artificial / Q000295:instrumentation / Q000379:methods*; D014139:Tracheostomy