Intraoperative management of failed single lung ventilation using a Fogarty balloon catheter through the open bronchus during off-pump left lung transplantation.
The use of balloon catheters as an interventional procedure is well established in various fields of medicine. Failure of single lung ventilation (SLV) can add difficulty to open bronchus procedures, and could result in a life-threatening situation very quickly. Trying to achieve single lung ventilation by alternate methods is fraught with dangers, and use of urgent cardiopulmonary bypass is less desirable because of increased primary graft dysfunction and mortality. We describe a novel approach of using a Fogarty balloon catheter through the open bronchus to achieve SLV during off-pump left lung transplantation when conventional SLV failed.
Department of Cardiopulmonary Transplantation, Freeman Hospital, High Heaton, Newcastle Upon Tyne, UK.
Bandigowdanapalya
B
Ramesh
Anders
A
Andreasson
John
J
Dark
D015360:Analgesia, Epidural; D000779:Anesthetics, Local / Q000008:administration & dosage*; D006801:Humans; D009407:Nerve Block / Q000379:methods*; D010149:Postoperative Pain / Q000517:prevention & control*; D013908:Thoracotomy / Q000009:adverse effects*
D000779:Anesthetics, Local
Airway; Surgery, complications; Transplantation, lung