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Case Reports
. 2019 Sep 15;13(6):206-210.
doi: 10.1213/XAA.0000000000001025.

Differential Lung Ventilation Using a Bronchial Blocker in a Pediatric Patient on Extracorporeal Membrane Oxygenation: A Case Report

Vidit Bhargava  1 , Ali Arastu  1 , Curtis Darling  2 , Ellen Wang  2 , Saraswati Kache  1
Affiliations
Case Reports

Differential Lung Ventilation Using a Bronchial Blocker in a Pediatric Patient on Extracorporeal Membrane Oxygenation: A Case Report

Vidit Bhargava et al. A A Pract. .

Abstract

We describe a patient with acute on chronic respiratory failure after a cardiac arrest who was cannulated to venoarterial extracorporeal membrane oxygenation. The patient developed right-sided interstitial emphysema with air leak and left-sided hemothorax with secondary atelectasis. A differential lung ventilation strategy was used in which an endotracheal tube was placed in the left main stem bronchus and a bronchial blocker was placed in the right mainstem bronchus. The patient's overall pulmonary function improved, and he was successfully decannulated from extracorporeal membrane oxygenation. In conclusion, differential lung ventilation may be performed in patients on extracorporeal membrane oxygenation with disparate lung disease as an alternative ventilation strategy.

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References

REFERENCES:

    1. Lev A, Barzilay E, Geber D, Bishara H, Prego J. Differential lung ventilation: a review and 2 case reports. Resuscitation. 1987;15:77–86.
    1. Skjeflo GW, Dybwik K. A new method of securing the airway for differential lung ventilation in intensive care. Acta Anaesthesiol Scand. 2014;58:463–467.
    1. Díaz-Regañón Valverde G, Fernández-Rico R, Iribarren-Sarrias JL, et al. [Synchronized independent pulmonary ventilation in the treatment of adult respiratory distress syndrome]. Rev Esp Anestesiol Reanim. 1997;44:392–395.
    1. Hedenstierna G, Baehrendtz S, Klingstedt C, et al. Ventilation and perfusion of each lung during differential ventilation with selective PEEP. Anesthesiology. 1984;61:369–376.
    1. Ost D, Corbridge T. Independent lung ventilation. Clin Chest Med. 1996;17:591–601.

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