Experience of hemostasis in tracheal bleeding very close to the carina by the bronchial blocker: a case report.
Massive hemoptysis is respiratory compromise which should be managed as a life-threatening condition. In our case, the bronchial blocker played a role in hemostasis of tracheal bleeding very close to the carina and prevented further spillage into the contralateral lung. Right-sided one-lung isolation in an 87-year-old female, who received cardiopulmonary resuscitation due to myocardial infarction, was requested due to hemoptysis. Right-sided bronchial bleeding was suspected on auscultation, but esophageal and tracheal bleeding due to violent intubation with a stylet was also considered. We attempted one-lung isolation with the bronchial blocker. The bronchial blocker was inadvertently advanced to the left mainstem bronchus, but the inflated balloon of the bronchial blocker compressed the site of bleeding, which was within 1 cm proximal and left posterior to the carina. Tracheal bleeding stopped, and we confirmed that hemostasis was achieved with the balloon of the bronchial blocker using a fiberoptic bronchoscope.
Department of Anesthesiology and Pain Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.
MinKi
M
Son
Department of Anesthesiology and Pain Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
Sangjun
S
Lee
Department of Anesthesiology and Pain Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.
Sang Hyun
SH
Lee
Department of Anesthesiology and Pain Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Korea.
Taewan
T
Lim
Department of Anesthesiology and Pain Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
Soo Kyung
SK
Lee
Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.
Kook Hyun
KH
Lee
Bronchial blocker; Hemoptysis; One-lung isolation