Clinical Use of Univent Tube with Movable Blocker for the Patient of Bronchopleural Fistula.
10.4097/kjae.1987.20.3.417
- Author:
Hung Kun OH
1
;
Shin Ok KOH
Author Information
1. Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- MeSH:
Bronchi;
Bronchoscopy;
Critical Illness;
Fistula*;
Gases;
Humans;
Intubation;
Tidal Volume;
Ventilation
- From:Korean Journal of Anesthesiology
1987;20(3):417-421
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The loss of Substantial portion of critically ill patient'a tidal volume through a broncho-pleural fistula may significantly alter the intrapulmonary distribution of ventilation, ventilation-perfusion matching and arterial blood gases. Prompt localization of surgical closure of bronchopleural fistu1a remains the treatment of Choice in most Patients. We had a chance to use a Univent tube with movable blocker to the patienta of breach-opleural fistula whith developed durinf esophageal bougienation. The endotracheal tube has two compartment, a large lumen for conventional air passage and a small lumen where a movable tube is placed. Intubation a accomplished by ordinary technique, advancement of the bronchial tube to the right lowers bronchus being guided by fiheroptic bronchoscopy.
