Rotura de bronquio principal izquierdo por tubo de doble luz en paciente con antecedentes de radioterapia

Ares, A. Bilbao; Menchaca, O. Romero; Cubedo, Elena; Pascual, Miguel Castañeda; Zazpe, Juan Guelbenzu; Bravo, M. Salvador

doi:10.1016/j.redar.2014.05.014

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2019

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“…Tracheobronchial rupture is caused by the larger DLT external diameter compared to the internal diameter of the bronchus, while mainstem bronchus rupture results from overinflation of the tracheal cuff. We found two reported cases of rupture of the left main bronchus after radiotherapy with use of a DLT [5,6], and using an SLT with an EB seems to be an interesting alternative. It is more flexible, easier to insert, and leads to less complications compared to using a DLT [2,4].…”

Section: Discussionmentioning

confidence: 99%

Bronchus perforation by EZ-BlockerTM endobronchial blocker during esophageal resection after neoadjuvant chemoradiation -a case report-

Pas

Woude

Belgers

et al. 2019

Korean J Anesthesiol

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Background Double-lumen tubes (DLT) and endobronchial blockers (EB) are used for one-lung ventilation in thoracic surgery. More complications are seen when using DLT when compared to EB, while major complications are rarely seen. Case This case report describes a perforation of the right mainstem bronchus by an EZ-Blocker EB in a patient undergoing a minimally invasive esophagectomy after neoadjuvant chemoradiation. Conclusions We advise to insert an EZ-Blocker TM EB with caution and only under direct bronchoscopic visualization, especially in previous irradiated patients.

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