Use of bronchial blockers: a retrospective review of 302 cases

Ueda, Kenichi; Goetzinger, Chris; Gauger, Elizabeth H.; Hallam, Ezra A.; Campos, Javier H.

doi:10.1007/s00540-011-1245-x

Cited by 12 publications

(3 citation statements)

References 21 publications

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“…Nowadays the BBs has become more and more popular for OLV because of advantages over DLT in procedures, such as tracheostomy, intubation for pediatric patients, patients requiring postoperative ventilation, et al [1] . It also possessed some advantages when compared with DLT, including minor airway trauma, less possibility for airway rupture, and lower rate of complications [3,4] . However, there are a few disadvantages of the BBs tube.…”

Section: Discussionmentioning

confidence: 99%

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An Accidental Bronchial Obstruction Caused by Detached Cuff: Case Report and Literature Review

Zhu

Liu

et al. 2020

Preprint

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Background The airway obstructions are usually caused by secretions, mucus plugs, blood clots, malposition of bronchial blockers (BBs) cuff or twist of the tube by oral biting. In this paper, we report a case of accidental bronchial obstruction as a result of a cuff detaching from the BBs catheter.Case presentation A 48-year-old male was admitted to our department due to small cell lung cancer. He had received two cycles of neoadjuvant chemotherapy with etoposide plus cisplatin and was scheduled a right upper lobe resection by thoracotomy. During the surgery, the patient was intubated with an 8.0-mm internal diameter BBs tube (Univent tube). When the anesthesiologist tried to remove the BBs towards the end of surgery, the cuff got detached accidentally and obstructed the airway leading to improper expansion of the middle lobe. This condition was determined later by the 6.0-mm bronchoscope and the cuff was removed with forceps. Conclusions We report this case aiming to remind other colleagues that the cuff detachment in the surgical procedure is still a potentially fatal incident even it rarely happens nowadays. It is important to check the BBs apparatus meticulously through the whole operative procedure. The routine use of 4.0-mm bronchoscope should be highly recommended during the entire airway management when a bronchial obstruction is suspected.

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Section: Discussionmentioning

confidence: 99%

“…The Mourisse's research shows that there are a few major complications with the application of BBs tube [2] . Most of the complications are minorsuper cial airway injuries [3,4] . But along with the increasing use of BBs, some accidental or rare incidents have increased.…”

Section: Introductionmentioning

confidence: 99%

An Accidental Bronchial Obstruction Caused by Detached Cuff: Case Report and Literature Review

Zhu

Liu

et al. 2020

Preprint

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“…The Univent ETT (Fuji Corp) contains a bronchial blocker, with a built-in curved tip resembling a hockey stick, in a channel parallel to the main lumen. 23 The Papworth BiVent ETT (P3 Medical, Bristol, United Kingdom) is a new ETT to use with bronchial blockers. 24 It has 2 side-by-side D-shaped lumens and a distal pliable tip that forks and sits on the carina.…”

Section: For Lung Isolationmentioning

confidence: 99%

Endotracheal Tubes: Old and NewDiscussion

et al. 2014

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The development and evolution of the endotracheal tube (ETT) have been closely related to advances in surgery and anesthesia. Modifications were made to accomplish many tasks, including minimizing gross aspiration, isolating a lung, providing a clear facial surgical field during general anesthesia, monitoring laryngeal nerve damage during surgery, preventing airway fires during laser surgery, and administering medications. In critical care management, ventilator-associated pneumonia (VAP) is a major concern, as it is associated with increased morbidity, mortality, and cost. It is increasingly appreciated that the ETT itself is a primary causative risk for developing VAP. Unfortunately, contaminated oral and gastric secretions leak down past the inflated ETT cuff into the lung. Bacteria can also grow within the ETT in biofilm and re-enter the lung. Modifications to the ETT that attempt to prevent bacteria from entering around the ETT include maintaining an adequate cuff pressure against the tracheal wall, changing the material and shape of the cuff, and aspirating the secretions that sit above the cuff. Attempts to reduce bacterial entry through the tube include antimicrobial coating of the ETT and mechanically scraping the biofilm from within the ETT. Studies evaluating the effectiveness of these modifications and techniques demonstrate mixed results, and clear recommendations for which modification should be implemented are weak.

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Lung Isolation

Campos¹

2019

Principles and Practice of Anesthesia for Thoracic Surgery

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Use of bronchial blockers: a retrospective review of 302 cases

Cited by 12 publications

References 21 publications

An Accidental Bronchial Obstruction Caused by Detached Cuff: Case Report and Literature Review

An Accidental Bronchial Obstruction Caused by Detached Cuff: Case Report and Literature Review

Endotracheal Tubes: Old and NewDiscussion

Lung Isolation

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