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.
Murakawa
Tomohiro
T
Department of Cardiothoracic Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan. murakawa-tky@umin.ac.jp
Ito
Nobuko
N
Fukami
Takeshi
T
Nakajima
Jun
J
Takamoto
Shinichi
S
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