One-Lung High-Frequency Ventilation for Tracheoplasty and Bronchoplasty: A New Technique

El-Baz, Nabil; Jensik, Robert J.; Faber, L. Penfield; Faro, Richard S.

doi:10.1016/s0003-4975(10)63004-4

Cited by 69 publications

(9 citation statements)

References 14 publications

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“…An attempt to ventilate one lung with high frequency positive pressure ventilator with a single plastic catheter was made by El-Baz et al (11) And simultaneous ventilation of both lungs using two separate catheters, one inserted into each main bronchus, and two ventilators, has been reported by Perera et al (2) However, they pointed out the flexibility of a plastic catheter could cause the difficulty with manipulation.…”

Section: Discussionmentioning

confidence: 99%

High Frequency Jet Ventilation of One Lung using a Bronchial Blocker of Univent during Carinal Resection

et al. 2010

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Airway management during carinal resection should provide adequate ventilation and oxygenation as well as a good surgical field, but without complications such as barotraumas or aspiration. One method of airway management is high frequency jet ventilation (HFJV) of one lung or both lungs. We describe a patient undergoing carinal resection, who was managed with HFJV of one lung, using a de-ballooned bronchial blocker of a Univent tube without cardiopulmonary compromise. HFJV of one lung using a bronchial blocker of a Univent tube is a simple and safe method which does not need additional catheters to perform HFJV and enables the position of the stiffer bronchial blocker more stable in airway when employed during carinal resection.

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Section: Discussionmentioning

confidence: 99%

High Frequency Jet Ventilation of One Lung using a Bronchial Blocker of Univent during Carinal Resection

et al. 2010

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“…Following the introduction of injector jet ventilation with a small catheter placed in the main bronchus (11) and high-frequency jet delivery (5,7,15), CPB-facilitated resection of tracheal and carinal tumours was largely abandoned. Although now seldom used, it may be beneficial in some cases (9,19).…”

Section: Discussionmentioning

confidence: 99%

Resection of Distal Tracheal and Carinal Tumours With the Aid of Cardiopulmonary Bypass

Péterffy

Konstantinov²

1998

Scandinavian Cardiovascular Journal

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Two cases of carinal and tracheal reconstruction with the aid of cardiopulmonary bypass (CPB) are presented. The technical problems of surgery and anaesthesia which necessitated CPB in these two patients are discussed. CPB provides both adequate oxygenation and an unobstructed surgical field with optimal access to the trachea and carina. It permits atraumatic handling of the airways and reduction of anastomotic tension during the repair.

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“…HFPPV was applied through a single plastic catheter inserted into left main bronchus. 6 In 1987 Watanabe et al reported 21 patients undergoing major airway reconstructive surgery with use of HFJ~. HFJV has been applied in two cases to both lungs simultaneously using two catheters and two high-frequency oscillation ventilators.…”

Section: Discussionmentioning

confidence: 99%

“…The insertion of the fight bronchial blocker with subsequent right lung collapse in the fLrst part of the operation not only facilitated surgical exposure of the carina, but also served as a test of the adequacy of oxygenation during one-lung conventional IPPB. The ventilatory variables of HFJV for the left lung were adjusted according to our previous experience with the technique and recommendations of others, s, 6,8,20,21 We were unable to determine 'the definite cause of decrease in oxygen saturation, which occurred approximately ten mintues after the onset of HFJV to the left lung, but we suspected it was either compression of the left lung or bleeding. In this situation there were several options for the rapid relief of hypoxia: l Increase the driving gas pressure (DGP).…”

Section: Discussionmentioning

confidence: 99%

Carinal resection with two high-frequency jet ventilation delivery systems

1993

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Case report A 76-yr-old man was admitted for investigation of progressive hoarseness and shortness of breath on moderate exertion. Laryngoscopy, bronchoscopy and mediastinoscopy revealed a squamous cell carcinoma of the right vocal cord as well as a squamous cell carcinoma of the carina adjacent to the origin of the left main bronchus. There was a history of cigarette smoking and exposure to coal and gold dust, as well as mild hypertension treated with enalapril 5 mg od. He had undergone abdominal aortic aneurysm repair one year previously.Physical examination was unremarkable. Blood pressure was 130/60 mmHg. Haemoglobin, electrolyte and creatinine concentrations, liver function tests, chest x-ray and ECG were all within normal limits. His preoperative arterial blood gas analysis breathing room air showed: pH 7.44; PCO2 5.06 kPa (38 mmHg); PO2 I0.8 kPa (81 mmHg); HCO3 26 mmol-L -I, 02 sat 96%. Pulmonary function tests revealed a mild to moderate airflow limitation with hyperinflation and also moderate impairment of lung diffusion.It was decided to resect the carinal tumour first, and subsequently to irradiate the laryngeal lesion. The patient was scheduled for excision and reconstruction of the carina through a right posterolateral thoracotomy. Conduct of anaesthesiaThe patient received premedication with glycopyrrolate 0.2 mg ira. Following placement of a lumbar epidural catheter for postoperative analgesia, general anaesthesia was induced with propofol 100 mg and tracheal intubation was facilitated with succinylcholine 120 mg. A #14 F Fogarty occlusion catheter, used as a bronchial blocker, was inserted into the right main bronchus followed by intubation of the trachea with a 9.0 mm endotracheal tube. The position of both was confumed by fibreoptic bronchoscopy.Initally, anaesthesia was maintained with oxygen 40%, N20, halothane, fentanyl 100 Isg and muscle relaxation

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One-Lung High-Frequency Ventilation for Tracheoplasty and Bronchoplasty: A New Technique

Cited by 69 publications

References 14 publications

High Frequency Jet Ventilation of One Lung using a Bronchial Blocker of Univent during Carinal Resection

High Frequency Jet Ventilation of One Lung using a Bronchial Blocker of Univent during Carinal Resection

Resection of Distal Tracheal and Carinal Tumours With the Aid of Cardiopulmonary Bypass

Carinal resection with two high-frequency jet ventilation delivery systems

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