One-lung ventilation in tracheostomized patients: our experience with EZ-Blocker

Rispoli, Marco; Nespoli, M; Salvi, Rosario; Corcione, Antonio; Buono, Salvatore

doi:10.1016/j.jclinane.2016.02.008

Cited by 11 publications

(4 citation statements)

References 15 publications

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“…Rispoli and colleagues demonstrated that the EZB can also be used via tracheostomy [ 14 ]. Furthermore, in combination with an electromyographic endotracheal tube system (NIM EMG Endotracheal Tube, Medtronic Xomed, Jacksonville, FL) the EZB, as well as other BBs, enables recurrent laryngeal nerve monitoring during single lung ventilation [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

The EZ-blocker for one-lung ventilation in patients undergoing thoracic surgery: clinical applications and experience in 100 cases in a routine clinical setting

Moritz

Irouschek

Birkholz

et al. 2018

J Cardiothorac Surg

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BackgroundIn certain clinical situations the insertion of a double-lumen tube (DLT) for one-lung ventilation (OLV) is not feasible or unfavorable. In these cases, the EZ-Blocker (EZB) may serve as an alternative. The aim of our analysis was to report on the clinical applications and our experience with the EZB for one-lung ventilation in 100 patients undergoing thoracic surgery.MethodsAll anesthetic records from patients older than 18 years of age undergoing general anesthesia in the department of thoracic surgery with intraoperative use of an EZB for OLV at the University Hospital of Erlangen in four consecutive years were analyzed retrospectively.ResultsMost frequently, EZB was used in difficult airway (27%) and for surgical procedures with high risk for left recurrent laryngeal nerve injury (21%), followed by application in intubated (12%) or tracheostomized (11%) patients. 11% of the patients had an increased risk of gastric regurgitation. Almost all EZBs were placed free of complications (99%). Clinically sufficient lung collapse was achieved in all patients. No serious airway injuries or immediate complications were documented.ConclusionsThe EZB is an efficient, easy-to-use and safe airway device and enables OLV in several clinical situations, when conventional DLTs are not feasible or less favorable. Three major applications were depicted from the data: expected difficult airway, surgical procedures with necessity of intraoperative recurrent laryngeal nerve monitoring and already intubated or tracheostomized patients.

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Section: Introductionmentioning

confidence: 99%

The EZ-blocker for one-lung ventilation in patients undergoing thoracic surgery: clinical applications and experience in 100 cases in a routine clinical setting

Moritz

Irouschek

Birkholz

et al. 2018

J Cardiothorac Surg

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“…Bei thoraxchirurgischen Patienten mit Tracheostoma kann dieses zur Seitentrennung der Lungen genutzt werden: entweder über einen Bronchusblocker bei liegender Trachealkanüle oder über eine Doppellumentrachealkanüle bei einem plastischen Tracheostoma [5,19,20]. Nach einer dilatativen Tracheotomie sollte man das Einführen einer Doppellumentrachealkanüle vermeiden, weil ein Verlust des Atemwegs resultieren kann.…”

Section: Tracheotomierte Patientenunclassified

Atemwegsmanagement – der schwierige Atemweg beim thoraxchirurgischen Patienten

Müller¹,

Defosse²,

Gerbershagen³

et al. 2018

Anästhesiol Intensivmed Notfallmed Schmerzther

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Difficult airway management in thoracic anesthesia has rarely been addressed in current guidelines. However, difficult airway management may be a challenge in thoracic anaesthesia: Achieving lung separation and collapse in combination of potentially distorted upper airway anatomy (difficult upper airway), the presence of subglottic pathologies (difficult lower airway) and the need for one-lung ventilation (difficult lung separation). This review will focus on identification of patients at risk, recommendations and algorithms for the airway management in the anticipated and unexpected difficult in-/extubation, and choice of devices for lung separation in this context.

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“…EZ-blocker (EZB) is a Y shape semi-rigid endobronchial blocker with two distal extensions, both with inflatable color-coded cuffs, to achieve OLV (1). Rispoli et al described that the EZB can be used via tracheostomy (2).…”

Section: Introductionmentioning

confidence: 99%

The efficacy of endobronchial blocker “EZ-blocker” for selective lobar ventilation: case report

Galatà¹,

Lybéris²,

Bisciaio³

et al. 2020

Curr Chall Thorac Surg

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One-lung ventilation (OLV) is an anesthesiological procedure used to facilitate thoracic surgery. In patients with anticipated difficult airways, the insertion of a double-lumen tube (DLT) for OLV is less feasible and has some disadvantages. In these situations, EZ-blocker (EZB)'s use can be considered appropriate. We present a case where tracheostomy, the respiratory distress and the need to allow the surgeon to reach the lesions intraoperative required selective and sequential ventilation of superior and lower left lobe. Selective and sequential lobar ventilation was performed with the EZB enabling the identification and the suture of pulmonary lesions allowing optimum oxygenation. EZB represents an opportunity for selective lobar exclusion in which it is necessary to alternate exclusion of different lung lobes.

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One-lung ventilation in tracheostomized patients: our experience with EZ-Blocker

Cited by 11 publications

References 15 publications

The EZ-blocker for one-lung ventilation in patients undergoing thoracic surgery: clinical applications and experience in 100 cases in a routine clinical setting

The EZ-blocker for one-lung ventilation in patients undergoing thoracic surgery: clinical applications and experience in 100 cases in a routine clinical setting

Atemwegsmanagement – der schwierige Atemweg beim thoraxchirurgischen Patienten

The efficacy of endobronchial blocker “EZ-blocker” for selective lobar ventilation: case report

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