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Case Reports
. 2022 Jul-Sep;25(3):343-345.
doi: 10.4103/aca.ACA_16_21.

A new strategy in lung/lobe isolation in patients with a lung abscess or a previous lung resection using double lumen tubes combined with bronchial blockers

Manuel Granell Gil  1 , Ruben Rubio-Haro  2 , Javier Morales-Sarabia  2 , Elena Biosca Perez  2 , Giulia Petrini  3 , Ricardo Guijarro  4 , Jose De Andrés  1
Affiliations
Case Reports

A new strategy in lung/lobe isolation in patients with a lung abscess or a previous lung resection using double lumen tubes combined with bronchial blockers

Manuel Granell Gil et al. Ann Card Anaesth. 2022 Jul-Sep.

Abstract

The combined use of a double-lumen tube and a bronchial blocker can be very helpful in two different clinical scenarios: (1) in isolating not only the contralateral lung, but also the lobe/s of the same lung in which the infected lobe must be resected, (2) in preventing/treating hypoxemia because of the presence of a contralateral lobectomy. A cardiothoracic anesthesiologist must expertise this technique to avoid complications during surgery.

Keywords: Airway management; bronchial blocker; double-lumen tube.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Flow chart shows the four cases in which we also isolate the lobe of the same lung in which the infected lobe was to be resected, with a combined use of a DLT and BB
Figure 2
Figure 2
(a) Neoplasia inside a tuberculosis cavity in a CT. (b) X-ray of a patient with a left lower lobectomy. (c) View from a 37F left VivaSight© DLT of a bronchial blocker in the intermedius right bronchus
Figure 3
Figure 3
Flow chart shows three case in which we achieve an adequate oxygenation and ventilation, even with a presence of a contralateral lobectomy, with a combined use of a DLT and BB
See this image and copyright information in PMC

Comment in

References

    1. McGlade DP, Slinger PD. The elective combined use of a double lumen tube and endobronchial blocker to provide selective lobar isolation for lung resection following contralateral lobectomy. Anesthesiology. 2003;99:1021–2. - PubMed
    1. Cruz P, Orozco HD, Garutti Martinez I, Hernández Fernández G. Selective lobar blockade with a Coopdech blocker combined with a double-lumen endotracheal tube for lung metastases resection by laser. Rev Bras Anestesiol. 2018;68:200–4. - PMC - PubMed
    1. Sumitani M, Matsubara Y, Mashimo T, Takeda S. Selective lobar bronchial blockade using a double-lumen endotracheal tube and bronchial blocker. Gen Thorac Cardiovasc Surg. 2007;55:225–7. - PubMed
    1. Naunheim KS, Virgo KS. Postoperative surveillance following lung cancer resection. Chest Surg Clin N Am. 2001;11:213–25. - PubMed
    1. Thoracic surgery in patients with a previous lung resection. In: Granell Gil M, Kawagoe I, Broseta A, Giner L, Sentürk M, editors; Granell Gil M, Sentürk M, editors. Anesthesia in Thoracic Anesthesia. Changes of Paradigms. Switzerland: Springer; 2020. pp. 313–25.

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