A New Endobronchial Tube for Left Lung Anaesthesia, with Specific Reference to Reconstructive Pulmonary Surgery

Pallister, W.K.

doi:10.1136/thx.14.1.55

Cited by 16 publications

(7 citation statements)

References 4 publications

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“…So invariably did he puncture the tracheal or bronchial cuff at distal tracheotomy when doing this operation, it stimulated Dr Pallister to modify -with a reserve bronchial 'cuff-within-a-cuff' -the Machray endobronchial tube just for such a usual eventuality ( Figure 5). 7 However, a surgical cause for cuff trauma is unusual with left-sided pneumonectomy as the endotracheal tube cuff is clear of the surgical field. In this case the incident reads as though it was torn on insertion (no record of the state of His Majesty's dentition) or a faulty cuff.…”

Section: Discussionmentioning

confidence: 99%

The King's anaesthetic

Conacher¹

2013

J Med Biogr

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King George VI underwent an operation for pneumonectomy in September 1951. Part of the operation anaesthetic record has survived. With conjecture, on a typical scenario of a 55-year-old male undergoing pulmonary resection for carcinoma in the early 1950s and other facts in the public domain, the King's anaesthetic has been reconstructed to give an approximation of the events that in the last few months of his life caused his speech to change from that achieved by his personal voice coach and recently portrayed on celluloid in the film 'The King's Speech'. The popularity and success of the film 'The King's Speech' brought to mind that King George VI died of bronchogenic carcinoma, a result, not recognised at the time, of the cigarette smoking habit that is a prominent feature of the story in celluloid.

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Section: Discussionmentioning

confidence: 99%

The King's anaesthetic

Conacher¹

2013

J Med Biogr

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“…1), Green‐Gordon (Fig. 2) and Brompton‐Pallister endobronchial tubes, for instance, were to prove useful for thoracic surgery for four decades [14–16], the latter containing a reserve bronchial cuff that was specifically suited for the sleeve upper lobectomy [16]. The Green‐Gordon solution for the right upper lobe slot was the inspiration for the Robertshaw right‐sided double lumen tube and was copied [2].…”

Section: Discussionmentioning

confidence: 99%

Endobronchial tubes – a case for re‐evaluation

Conacher¹,

Velasquez²,

Morrice³

2006

Anaesthesia

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Summary An endobronchial tube (Macintosh‐Leatherdale) was used to secure the airway for a tracheal resection and end‐to‐end anastomosis. This lung separation device enabled insertion of both a fibreoptic bronchoscope and a tube exchange catheter. These were required after the trachea was transected and re‐anastomosis proved surgically difficult. The airway exchange catheter allowed for jet ventilation and later a tube change when an emergency occurred. Options and management issues for tracheal surgery and lung separators are discussed. A case is made for a re‐evaluation of endobronchial tubes both as a useful conduit for modern airway instruments and as an alternative to small double‐lumen tubes for the increasing population of obese patients weighing > 100 kg, requiring thoracic surgery.

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“…In 1959, Pallister described a new endobronchial tube for left lung anaesthesia during tissue-sparing 'sleeve resection' of the right upper lobe 11 . The Brompton-Pallister tube possessed two bronchial cuffs, one lying inside the other in case one was damaged intraoperatively, as well as a tracheal cuff which, when inflated with the bronchial cuff deflated, allowed both lungs to be ventilated and the bronchial suture line tested.…”

Section: Cover Notementioning

confidence: 99%