Complication of the Univent Tube

Thielmeier, Kenneth A.; Anwar, Mohammed

doi:10.1097/00000542-199602000-00055

Cited by 25 publications

(4 citation statements)

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“…Thielmeier [16] Univent Ò Part of the balloon was included in the staple line during a right upper lobectomy Although BBs provide unique advantages in certain situations, a series of different complications have been reported with BBs (Table 1) [6][7][8][9][10][11][12][13][14][15][16]. However, in our 302 cases, no major complications were observed; thus, the risk of major complications using BBs is estimated to be less than 1% [17].…”

Section: Discussionmentioning

confidence: 82%

Use of bronchial blockers: a retrospective review of 302 cases

et al. 2011

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The purpose of this retrospective review is to evaluate the safety and efficacy of the bronchial blockers (BBs) used in thoracic anesthesia. We enrolled 302 patients who had a BB placed to achieve one-lung ventilation (OLV). Variables recorded from the anesthetic record included type of device used, type and side of surgery, specific indications for OLV, Mallampati score, route of intubation, and complications related to the use of BBs. The BBs used include the Arndt Wire-guided, Univent, Cohen Flexi-tip, Fogarty catheter, and Fuji. The majority of BBs placed were Arndt (n = 156) or Univent (n = 131). BBs were used significantly more often in thoracoscopic procedures than in thoracotomies (P < 0.01). Of the 251 patients, 216 (86%) had a Mallampati score of I/II and 35 (14%) had a score of III/IV. There were no identified complications related to BBs. In summary, BBs can be safely used to achieve OLV and offer advantages for OLV in specific situations.

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Section: Discussionmentioning

confidence: 82%

Use of bronchial blockers: a retrospective review of 302 cases

et al. 2011

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“…A common problem with the use of the bronchial blockers is that malpositions occur more often than with the DLTs [ 4 ]. Potential complications related to the use of the bronchial blocker might include inclusion of a bronchial blocker or the nylon guide wire into the stapling line [ 29 , 30 ]. This is why communication with the surgical team regarding the placement of a bronchial blocker in the surgical side is crucial.…”

Section: Use Of Bronchial Blockers During Lung Separation In the Omentioning

confidence: 99%

Lung Separation in the Morbidly Obese Patient

Campos

Ueda

2012

Anesthesiology Research and Practice

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Lung separation techniques in the morbidly obese patient undergoing thoracic or esophageal surgery may be at risk of complications during airway management. Access to the airway in the obese patient can be a challenge because they have altered airway anatomy, including a short and redundant neck, limited neck extension and accumulation of fat deposition in the pharyngeal wall contributing to difficult laryngoscopy. Securing the airway is the first priority in these patients followed by appropriate techniques for lung separation with the use of a single-lumen endotracheal tube and a bronchial blocker or another alternative is with the use of a double-lumen endotracheal tube. This review is focused on the use of lung isolation devices in the obese patient. The recommendations are based upon scientific evidence, case reports or personal experience. Fiberoptic bronchoscopy must be used to place and confirm proper placement of a single-lumen endotracheal tube, bronchial blocker or double-lumen endotracheal tube.

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“…Complications reported with the use of this device include bronchial rupture with pneumothorax,58 tracheal obstruction due to malpositioning of the inflated blocker in the trachea,59 and inclusion of the blocker in a surgical stapling line. 60 Although the use of these tubes as single-lumen tubes for postoperative mechanical ventilation has been cited as an advantage, damage to the tube in the critical care units has resulted in fragments being deposited in the trachea or bronchi.61…”

Section: Bronchial Blocking Techniquesmentioning

confidence: 99%

Common Pitfalls in Anesthesia for Noncardiac Thoracic Surgery

Anagnostou

2003

Semin Cardiothorac Vasc Anesth

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Over the past few decades, major surgical procedures involving the thorax have become commonplace at most larger medical facilities. Advances in perioperative care have allowed surgeons to perform increasingly complex procedures. These procedures are being performed on more seriously ill patients who are at increased risk for significant complications. Recent advances should help the anesthesiologist avoid some of the pitfalls in managing these complex patients. Preoperative assessment aids in the identification of patients at highest risk for intraoperative and postoperative events. Particular attention is given to myasthenia gravis, as thymectomy is among the most common surgical procedures that are performed in these patients. Aggressive pain control techniques, including neuraxial opioids and patient-controlled analgesia, where appropriate, not only improve patient comfort but can improve postoperative pulmonary function. Advances in techniques for providing one-lung ventilation allow the anesthesiologist more options to individualize management for each clinical scenario. Careful fluid management may help to minimize the risk of postoperative pulmonary complications. A basic understanding of video-assisted thoracic surgery should help the anesthesiologist provide optimal surgical conditions and perioperative care. Recent advances demand a greater role for the anesthesiologist if the best outcomes are to be achieved in patients undergoing thoracic procedures.

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Complication of the Univent Tube

Cited by 25 publications

References 0 publications

Use of bronchial blockers: a retrospective review of 302 cases

Use of bronchial blockers: a retrospective review of 302 cases

Lung Separation in the Morbidly Obese Patient

Common Pitfalls in Anesthesia for Noncardiac Thoracic Surgery

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