Use of bronchial blocker in emergent thoracotomy in presence of upper airway hemorrhage, and cervical spine fracture: a difficult decision

Relevance of single-lumen endotracheal tube diameter and type of bronchial blocker for lung isolation in an emergent case

“…As it was explained in the paper by Almeida et al, 2 ad initium the patient did not have endobronchial hemorrhage (only significant tongue hemorrhage). It was not present during the first positioning of the bronchial blocker, but throughout the case due to the surgical manipulation and aggravation of the coagulopathy.…”

“…We would like to add some comments to the clarification that Grocott 1 provided about the published paper by Almeida et al, 2 “Use of bronchial blocker in emergent thoracotomy in presence of upper airway hemorrhage, and cervical spine fracture: a difficult decision”.…”

Lung isolation for emergent thoracotomy in the bleeding airway patient: the choice of bronchial blocker may make a difference

“…Several points might merit clarification in the recent case report by Almeida et al 1 that outlined the use of a bronchial blocker for lung isolation in a patient needing emergency right-sided thoracotomy who had a difficult airway due to orofacial bleeding. It is mentioned that an exchange of the endotracheal tube (ETT) was undertaken with the use of an “exchanger stylet” in this already intubated patient who was coming from the intensive care unit.…”