Abstract
We report our experience of a selective lobar bronchial blockade (SLBB) technique with a bronchial blocker (BB) which was employed successfully with a routine double-lumen endotracheal tube (DLT) in three patients. For the first case, we selectively blocked the infected left lower lobe in a surgical patient with a lung abscess in a DLT setting. For the second case, we applied this method to block the right middle and lower lobes in order to assess air leakage from the upper lobe during video-assisted thoracic surgery (VATS). For the third case, selective continuous positive airway pressure (CPAP) to the blocked lobes on the operative side resulted in oxygenation improvement with one-lung ventilation (OLV) in a DLT. This novel technique provides benefits during general thoracic surgery by preventing contamination, providing a better operative field, and improving oxygenation with lobar CPAP.
Similar content being viewed by others
References
N Ju-mei MP Hartigan (2003) ArticleTitleSelective lobar bronchial blockade following contralateral pneumonectomy Anesthesiology 98 268–70 Occurrence Handle10.1097/00000542-200301000-00041
B Kabon B Waltl J Leitgeb S Kapral M Zimpfer (2001) ArticleTitleFirst experience with fiberoptically directed wire-guided endobronchial blockade in severe pulmonary bleeding in an emergency setting Chest 120 1399–402 Occurrence Handle11591587 Occurrence Handle10.1378/chest.120.4.1399 Occurrence Handle1:STN:280:DC%2BD3MrksVCjtw%3D%3D
M Takahashi Y Kurokawa H Toyama R Hasegawa Y Hashimoto (2001) ArticleTitleThe successful management of thoracoscopic thoracic duct ligation in a compromised infant with targeted lobar deflation Anesth Analg 93 96–7 Occurrence Handle11429347 Occurrence Handle10.1097/00000539-200107000-00021 Occurrence Handle1:STN:280:DC%2BD3Mznt1eqtA%3D%3D
M Takahashi M Yamada I Honda M Kato M Yamamuro Y Hashimoto (2001) ArticleTitleSelective lobar-bronchial blocking for pediatric video-assisted thoracic surgery Anesthesiology 94 170–2 Occurrence Handle11135741 Occurrence Handle10.1097/00000542-200101000-00033 Occurrence Handle1:STN:280:DC%2BD3M3pvFCltQ%3D%3D
JH Campos C Ledet RJ Moyers (1995) ArticleTitleImprovement of arterial oxygen saturation with selective lobar bronchial block during hemorrhage in a patient with previous contralateral lobectomy Anesth Analg 81 1095–6 Occurrence Handle7486055 Occurrence Handle10.1097/00000539-199511000-00036 Occurrence Handle1:STN:280:DyaK28%2FmvV2qsw%3D%3D
JH Campos (1997) ArticleTitleEffects of oxygenation during selective lobar versus total lung collapse with or without continuous positive airway pressure Anesth Analg 85 583–6 Occurrence Handle9296413 Occurrence Handle10.1097/00000539-199709000-00018 Occurrence Handle1:STN:280:DyaK2svktV2mtg%3D%3D
M Capdeville D Hall GC Koch (1998) ArticleTitlePratical use of a bronchial blocker in combination with a double-lumen endotracheal tube Anesth Analg 87 1239–41 Occurrence Handle9842804 Occurrence Handle10.1097/00000539-199812000-00004 Occurrence Handle1:STN:280:DyaK1M%2Fls12gug%3D%3D
Z Otruba D Oxorn (1992) ArticleTitleLobar bronchial blockade in bronchopleural fistula Can J Anaesth 39 176–8 Occurrence Handle1544201 Occurrence Handle1:STN:280:DyaK387otlaktA%3D%3D Occurrence Handle10.1007/BF03008652
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sumitani, M., Matsubara, Y., Mashimo, T. et al. Selective lobar bronchial blockade using a double-lumen endotracheal tube and bronchial blocker. Gen Thorac Cardiovasc Surg 55, 225–227 (2007). https://doi.org/10.1007/s11748-007-0108-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11748-007-0108-8