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Lung isolation, one-lung ventilation and hypoxaemia during lung isolation.

Purohit A, Bhargava S, Mangal V, Parashar VK - Indian J Anaesth (2015)

Bottom Line: Isolation can be achieved by double-lumen endotracheal tubes or bronchial blocker.Different issues arise in prone and semi-prone position.The management of hypoxia with lung isolation is a stepwise drill of adding inhaled oxygen, adding positive end-expiratory pressure to ventilated lung and continuous positive airway pressure to non-ventilated side.

View Article: PubMed Central - PubMed

Affiliation: Department of Anaesthesiology, SIDSS, Santokba Durlabhji Memorial Hospital, Jaipur, Rajasthan, India.

ABSTRACT
Lung isolation is being used more frequently in both adult and paediatric age groups due to increasing incidence of thoracoscopy and video-assisted thoracoscopic surgery in these patients. Various indications for lung isolation and one-lung ventilation include surgical and non-surgical reasons. Isolation can be achieved by double-lumen endotracheal tubes or bronchial blocker. Different issues arise in prone and semi-prone position. The management of hypoxia with lung isolation is a stepwise drill of adding inhaled oxygen, adding positive end-expiratory pressure to ventilated lung and continuous positive airway pressure to non-ventilated side.

No MeSH data available.


Related in: MedlinePlus

(a-f) Tips of bronchial blockers
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Figure 3: (a-f) Tips of bronchial blockers

Mentions: Besides the DLTs, another method for facilitating lung isolation involves blockade of a bronchus to allow lung collapse distal to the occlusion using devices known as the endobronchial blockers (EBBs). [Figure 3a-f] These include Fogarty's, Foley's and Swan-Ganz catheters, Univent tubes and Torque Control Blocker Univent (TCBU) blockers,[7] Coopdech blockers, Cohen's tip-deflecting blockers,[8] Arndt wire-guided endobronchial blockade (WEB) blockers[9] and the latest EZ-blockers. Table 3 enumerates the advantages and disadvantages of bronchial blockers in general. The salient features of each of these are discussed henceforth in adequate detail.


Lung isolation, one-lung ventilation and hypoxaemia during lung isolation.

Purohit A, Bhargava S, Mangal V, Parashar VK - Indian J Anaesth (2015)

(a-f) Tips of bronchial blockers
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4613408&req=5

Figure 3: (a-f) Tips of bronchial blockers
Mentions: Besides the DLTs, another method for facilitating lung isolation involves blockade of a bronchus to allow lung collapse distal to the occlusion using devices known as the endobronchial blockers (EBBs). [Figure 3a-f] These include Fogarty's, Foley's and Swan-Ganz catheters, Univent tubes and Torque Control Blocker Univent (TCBU) blockers,[7] Coopdech blockers, Cohen's tip-deflecting blockers,[8] Arndt wire-guided endobronchial blockade (WEB) blockers[9] and the latest EZ-blockers. Table 3 enumerates the advantages and disadvantages of bronchial blockers in general. The salient features of each of these are discussed henceforth in adequate detail.

Bottom Line: Isolation can be achieved by double-lumen endotracheal tubes or bronchial blocker.Different issues arise in prone and semi-prone position.The management of hypoxia with lung isolation is a stepwise drill of adding inhaled oxygen, adding positive end-expiratory pressure to ventilated lung and continuous positive airway pressure to non-ventilated side.

View Article: PubMed Central - PubMed

Affiliation: Department of Anaesthesiology, SIDSS, Santokba Durlabhji Memorial Hospital, Jaipur, Rajasthan, India.

ABSTRACT
Lung isolation is being used more frequently in both adult and paediatric age groups due to increasing incidence of thoracoscopy and video-assisted thoracoscopic surgery in these patients. Various indications for lung isolation and one-lung ventilation include surgical and non-surgical reasons. Isolation can be achieved by double-lumen endotracheal tubes or bronchial blocker. Different issues arise in prone and semi-prone position. The management of hypoxia with lung isolation is a stepwise drill of adding inhaled oxygen, adding positive end-expiratory pressure to ventilated lung and continuous positive airway pressure to non-ventilated side.

No MeSH data available.


Related in: MedlinePlus