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Bronchial blocker and double-lumen endotracheal tube combination to facilitate lung isolation during esophagectomy


1 Department of Anesthesiology and Perioperative Medicine, Mayo Clinic Florida, FL, USA
2 Department of Cardiothoracic Surgery, Mayo Clinic Florida, FL, USA

Correspondence Address:
Hong Liang
Mayo Clinic Florida, 4500 San Pablo Road, Jacksonville, FL
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_236_20

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Year : 2022  |  Volume : 25  |  Issue : 2  |  Page : 214-216

 

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Lung isolation is an essential anesthetic technique utilized in thoracic surgeries. We present a patient undergoing esophagectomy that developed an iatrogenic injury to the left mainstem bronchus that damaged the bronchial cuff of a left-sided double-lumen endotracheal tube (DLETT). A bronchial blocker (BB) was placed in the tracheal lumen of the DLETT as a rescue method to facilitate continued lung isolation. This unusual combination of a DLETT and a BB proved useful once the bronchial cuff was compromised and may serve as a viable solution to maintain lung isolation in similar circumstances.






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1 Department of Anesthesiology and Perioperative Medicine, Mayo Clinic Florida, FL, USA
2 Department of Cardiothoracic Surgery, Mayo Clinic Florida, FL, USA

Correspondence Address:
Hong Liang
Mayo Clinic Florida, 4500 San Pablo Road, Jacksonville, FL
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_236_20

Rights and Permissions

Lung isolation is an essential anesthetic technique utilized in thoracic surgeries. We present a patient undergoing esophagectomy that developed an iatrogenic injury to the left mainstem bronchus that damaged the bronchial cuff of a left-sided double-lumen endotracheal tube (DLETT). A bronchial blocker (BB) was placed in the tracheal lumen of the DLETT as a rescue method to facilitate continued lung isolation. This unusual combination of a DLETT and a BB proved useful once the bronchial cuff was compromised and may serve as a viable solution to maintain lung isolation in similar circumstances.






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