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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


1 Department of Anesthesia Critical Care and Pain Management, Valencia University General Hospital, Tres Creus Avenue; Department of Surgery, Valencia University Medical School, Blasco Ibáñez Av, Valencia, Spain
2 Department of Anesthesia Critical Care and Pain Management, Valencia University General Hospital, Tres Creus Avenue, Valencia, Spain
3 Department of Anesthesia and Critical Care, Cardinal Massaia Hospital, Asti, Italy
4 Department of Thoracic Surgery, Valencia University General Hospital, Tres Creus Avenue, Valencia, Spain

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_16_21

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Year : 2022  |  Volume : 25  |  Issue : 3  |  Page : 343-345

 

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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.






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1 Department of Anesthesia Critical Care and Pain Management, Valencia University General Hospital, Tres Creus Avenue; Department of Surgery, Valencia University Medical School, Blasco Ibáñez Av, Valencia, Spain
2 Department of Anesthesia Critical Care and Pain Management, Valencia University General Hospital, Tres Creus Avenue, Valencia, Spain
3 Department of Anesthesia and Critical Care, Cardinal Massaia Hospital, Asti, Italy
4 Department of Thoracic Surgery, Valencia University General Hospital, Tres Creus Avenue, Valencia, Spain

Correspondence Address:
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_16_21

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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.






[FULL TEXT] [PDF]*


        
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