Anesthetic Experience of Unexpected Change to One-Lung Ventilation with Bronchial Blocker
- Author:
Hyun Woo NA
1
;
Mi Soon LEE
;
A Na CHO
;
Yang Hoon CHUNG
;
Joon Ho LEE
;
Sung Hwan CHO
;
Bon Sung KOO
Author Information
1. Department of Anesthesiology and Pain Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea. Kbs0803@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
One-lung ventilation;
Oximetry;
Thoracoscopy
- MeSH:
Adult;
Emergencies;
Female;
Humans;
Laparotomy;
Lung;
One-Lung Ventilation;
Oximetry;
Oxygen;
Thoracic Surgical Procedures;
Thoracoscopy
- From:Soonchunhyang Medical Science
2019;25(1):80-82
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
One-lung ventilation is an anesthesiological technique to accomplish surgical visualization during thoracic surgical procedures, and is often required unexpectedly during surgery. Traditionally the double lumen tube is considered the gold standard for lung separation. Despite being equally feasible for standard situations, there are special populations and circumstances requiring the use of a bronchial blocker to establish one-lung ventilation. We have experienced unexpected change to one-lung ventilation with bronchial blocker. A 40-year-old (158 cm, 48 kg) woman was scheduled for emergency exploratory laparotomy due to panperitonitis. A sudden diaphragmatic perforation occurred during the operation. Since oxygen saturation was reduced, intraoperative tube change was not available. Therefore, one-lung ventilation was done with bronchial blockers. After the bronchial blocker was placed, one-lung ventilation was well maintained and the operation was terminated successfully.
