Application of lobe-selective bronchial blockade against airway bleeding.
A 48-year-old man underwent resection of a right upper lobe necrotic tumor and part of his chest wall. Lobe-selective bronchial blockade of bleeding from the right upper lobe was achieved by combining a left-side double-lumen endotracheal tube with a bronchial blocker placed at the right intermediate bronchus. The bleeding right upper lobe was isolated, and the other lobes were protected from blood contamination during the lobectomy procedure.
Department of Cardiothoracic Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan. murakawa-tky@umin.ac.jp
Tomohiro
T
Murakawa
Nobuko
N
Ito
Takeshi
T
Fukami
Jun
J
Nakajima
Shinichi
S
Takamoto
D001999:Bronchoscopy; D015505:Chest Tubes; D006469:Hemoptysis / Q000209:etiology; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006488:Hemostasis, Surgical; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation; D008175:Lung Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011859:Radiography; D013908:Thoracotomy; D016896:Treatment Outcome