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The uses of laryngeal mask airway ProSeal™ and endobronchial blocker for one lung anesthesia

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Abstract

Purpose

The use of an endobronchial blocker in conjunction with a supraglottic device in elective thoracic cases has never been studied. The aim of this study was to report the success rate and time to placement of the endobronchial blocker in anaesthetized patients with a laryngeal mask airway (LMA)-ProSeal™ in place.

Methods

This was a single-center, prospective, descriptive pilot study that enrolled 30 patients aged 18–75 years, with ASA I–III, who underwent elective thoracotomy or video-assisted thoracoscopy. We collected data on time to placement of the endobronchial blocker into the selected bronchus, time consumed for final blocker positioning and inflation, lung deflation score at chest opening, and postoperative airway complications.

Results

One patient was excluded because of high peak airway pressure during LMA ventilation. The time required for blocker placement in the right main bronchus was shorter [mean 160 (78–480) s] compared with that for the left main bronchus [225 (117–420) s]. The blocker was successfully placed on the first attempt in 25 patients. Lung deflation score graded by the surgeon was 8/10 (median). Minor postoperative airway complications, such as sore throat (28.6 %) and hoarseness of voice (17.9 %), were reported.

Conclusions

The use of LMA-ProSeal™ in conjunction with the COOPDECH Endobronchial Blocker Tube may be considered an alternative one-lung ventilation technique in selected cases. However, success rates and time required for placement of the blocker seem dependent on the operator’s skill. Although postoperative sore throat and hoarseness of voice were reported, these improved in 24 h.

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Acknowledgments

The authors thank all the residents and fellows of the 2010 anesthesiology class for their time and effort spent during the manikin testing of different supraglottic devices and bronchial blockers. We also thank Assoc. Prof. Tanyong Pipanmekaporn for assistance with statistical analysis.

Conflict of interest

None of the authors have conflicts of interest to declare.

Author information

Authors and Affiliations

  1. Mahidol University, Bangkoknoi, Bangkok, Thailand

    Prasert Sawasdiwipachai, Settapong Boonsri, Sirilak Suksompong & Paron Prowpan

Authors
  1. Prasert Sawasdiwipachai
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  2. Settapong Boonsri
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  3. Sirilak Suksompong
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  4. Paron Prowpan
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Corresponding author

Correspondence to Prasert Sawasdiwipachai.

Additional information

ClinicalTrial.gov ID: NCT02106273

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Sawasdiwipachai, P., Boonsri, S., Suksompong, S. et al. The uses of laryngeal mask airway ProSeal™ and endobronchial blocker for one lung anesthesia. J Anesth 29, 660–665 (2015). https://doi.org/10.1007/s00540-015-2004-1

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  • DOI: https://doi.org/10.1007/s00540-015-2004-1

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