[Our bronchial blocker experiences in one lung ventilation].
Recent advances in surgical techniques for thoracic have led to an increased use of one lung ventilation techniques. One lung ventilation is performed by doubled lumen tubes, fogarty catheters, Univent tubes and bronchial blockers. In this paper our bronchial blocker experiences were presented in fifteen thoracic surgery patients. Bronchial blockers were placed in fifteen patients who needed one-lung ventilation during thoracic surgery between January-April in 2007. Type of the bronchial blockers were selected randomly and total eight Cohen and seven Arndt bronchial blocker were placed. Following endotracheal intubation some of the bronchial blockers were performed at supine and the others were in lateral position to patients. Fiberoptic investigation was performed in all of the patients following lateral position. Bronchial blocker were placed in fifteen patients. In one patient who had congenital tracheal bronchus, one lung ventilation could not have been achieved by bronchial blocker. Following lateral positioning bronchial blocker of two patients were malpositioned and they were repositoned. Successfull one lung ventilation was performed by both bronchial blocker type. While the patient's airway position, postoperative period and type of the surgery have been considered, bronchial blockers may be an alternative airway device for one-lung ventilation.
Hoşten
Tülay
T
Department of Anesthesiology and Reanimation, Faculty of Medicine, Kocaeli University, Kocaeli, Turkey. tulayhosten@hotmail.com
Gürkan
Yavuz
Y
Sahillioğlu
Emre
E
Topçu
Salih
S
Solak
Mine
M
Toker
Kamil
K
D000328:Adult; D000368:Aged; D002404:Catheterization; D005260:Female; D005336:Fiber Optic Technology; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial / Q000295:instrumentation* / Q000379:methods*; D016683:Supine Position; D019616:Thoracic Surgical Procedures; D016896:Treatment Outcome; D055815:Young Adult