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Case Reports
. 1992 Feb;39(2):176-8.
doi: 10.1007/BF03008652.

Lobar bronchial blockade in bronchopleural fistula

Z Otruba  1 , D Oxorn
Affiliations
Case Reports

Lobar bronchial blockade in bronchopleural fistula

Z Otruba et al. Can J Anaesth. 1992 Feb.

Abstract

A 59-yr-old man with bullous lung disease developed a refractory bronchopleural fistula involving the right upper lobe. Despite independent lung and high-frequency jet ventilation, a large air leak persisted. Following the introduction of a bronchial blocker into the right upper lobe bronchus via the tracheal lumen of a left-sided endobronchial tube, oxygenation and ventilation improved, and the airleak was reduced by 90%. The presence of pneumonia led to an inexorably downhill course with death from overwhelming sepsis.

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