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BLIND ENDOBRONCHIAL INTUBATION WITH BRONCHIAL BLOCKER FOR MEDIASTINAL MASS REMOVAL - A CASE REPORT.

KUMARESAN .

Abstract


One lung ventilation in patients coming for thoracic surgery remains a challenge for anesthesiologists. Double lumen tube, bronchial blocker and endobronchial tubes are the techniques used for lung isolation. Of the above, the Double lumen tube is the commonly performed technique. In certain situations, the DLT s cannot be used or  contraindicated, example altered airway anatomy, previous airway surgeries, tracheostomy patients, and pediatric patients. In the above clinical conditions the available option is the bronchial blocker. Because of many disadvantages of the endobronchial tubes are not used. Herewith, we present a case of mediastinal teratoma removal  done in a 23 years old patient wit h the use of ARNDT bronchial blocker under blind technique.

 


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References


Campos JH: Progress in lung separation. Thorac Surg Clin 2005; 15:71.

Eberle B, Weiler N, Vogel N, et al: Computed tomography based tracheobronchial image reconstruction allows selection of the individually appropriate double- lumen tube size. J Cardiothorac Vasc Anesth 1999; 13:532.

Soto RG, Oleszak SP: Resection of the Arndt bronchial blocker during stapler resection of the left lower lobe. J Cardiothorac Vasc Anesth 2006; 20:131-132

Prabhu MR, Smith JH: Use of the Arndt wire-guided endobronchial blocker. Anesthesiology 2002; 97:1325.

Hagihira S, Takashina M, Mori T, et al: One-lung ventilation in patients with difficult airways. J Cardiothorac Vasc Anesth 1998; 12:186.

Tobias JD: Variations on one-lung ventilation. J Clin Anesth. 2001; 13:35. 7. Saito T, Naruke T, Carney E, et al: New double intrabronchial tube (Naruke tube) for tracheostomized patients. Anesthesiology 1998; 89:1038.

Frawley G, Low J, Brown TCK: Anaesthesia for an anterior mediastinal mass with ketamine and midazolam infusion. Anaesth Intens Care 1995; 23:610.


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