Sequential lobar-lung-lobar isolation using a deflecting tip bronchial blocker

Selective Lobar Blockade With a Bronchial Blocker in Combination With a Double Lumen Tube to Manage Refractory Hypoxemia: A Case Report

“…Application of CPAP to the surgical lung is commonly used to treat hypoxemia with OLV; however, this technique can sometimes compromise the visualization of the surgical field, especially in robotic and video-assisted surgeries. Using lobar isolation to ventilate selective lobes of the operative lung has been shown to be effective in treating hypoxemia during OLV and thoracic surgery [7][8][9]. However, this technique has previously been described using a bronchial blocker and single lumen endotracheal tube and not a left-sided double lumen endobronchial tube.…”

Selective lobar blockade with a Coopdech blocker combined with a double-lumen endotracheal tube for lung metastases resection by laser

“… 4 This has been performed more frequently through a SLT in thoracic surgical procedures in patients who previously underwent a contralateral resection 7 or pneumonectomy, 8 , 9 for control of pulmonary bleeding, 3 to avoid pulmonary contamination, reduced air leak through a fistula, 9 and for improve arterial oxygenation in patients with marginal pulmonary reserve 10 or patients unable to tolerate OLV. 11 , 12 Campos 13 showed that SLBB with the Univent bronchial blocker improved arterial oxygenation during OLV and resulted in greater PaO 2 value than total lung collapsed, regardless of CPAP application to the nonventilated lung. SLBB with a Univent bronchial blocker has also been successful in patients with compromise lung function undergoing minimally invasive video thoracoscopic surgery.…”

Isolation of the Right Upper-Lobe with a Left-Sided Double-Lumen Tube After Left-Pneumonectomy

“…A bronchial blocker positioned at the orifice to the right upper-lobe bronchus through a standard ETT (13) or with a Univent tube (14) could have isolated the aspergilloma and allowed ventilation of the remaining lung (15). However, infected material behind the blocker would enter the healthy lung once the blocker balloon was deflated.…”