Recent advances in surgical techniques for thoracic have led to an increased use of one lung ventilation techniques. One lung ventilation is performed by doubled lumen tubes, fogarty catheters, Univent tubes and bronchial blockers. In this paper our bronchial blocker experiences were presented in fifteen thoracic surgery patients. Bronchial blockers were placed in fifteen patients who needed one-lung ventilation during thoracic surgery between January-April in 2007. Type of the bronchial blockers were selected randomly and total eight Cohen and seven Arndt bronchial blocker were placed. Following endotracheal intubation some of the bronchial blockers were performed at supine and the others were in lateral position to patients. Fiberoptic investigation was performed in all of the patients following lateral position. Bronchial blocker were placed in fifteen patients. In one patient who had congenital tracheal bronchus, one lung ventilation could not have been achieved by bronchial blocker. Following lateral positioning bronchial blocker of two patients were malpositioned and they were repositoned. Successfull one lung ventilation was performed by both bronchial blocker type. While the patient's airway position, postoperative period and type of the surgery have been considered, bronchial blockers may be an alternative airway device for one-lung ventilation.
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Best Pract Res Clin Anaesthesiol
March 2024
Cardiothoracic Anesthesia, Anesthesiology Department, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia; Cardiothoracic Anaesthesia Unit, Department of Anaesthesia, Surgical Intensive Care and Pain Medicine, College of Medicine, Mansoura University, Mansour, Egypt. Electronic address:
Innovations and challenges for lung separation or isolation have evolved during the last few years. In this chapter, we present the up-to-date, robust evidence available during the previous five years supporting the positions of the different devices, techniques, and tricks for their use in adult and pediatric patients undergoing various thoracic surgical interventions. Additionally, we presented an update on lung isolation in patients with airway difficulty and the suggested training level to master these techniques.
View Article and Find Full Text PDFJ Cardiothorac Surg
December 2024
Department of Radiology, Affiliated Hangzhou First People's Hospital, School of Medicine, Westlake University, Hangzhou, 310006, China.
Background: Acquired bronchobiliary fistula (BBF) is a rare but life-threatening complication that can occur as a result of oncological processes, inflammatory reactions, parasite infections, thoracoabdominal trauma, or invasive procedures associated with iatrogenic injury. However, the potential etiology of BBF caused by instrumental issues when using ultrasonic scalpels resulting in diathermy burn and its post-burn effects has never been reported.
Case Presentation: Herein, we present a case of a 65-year-old woman who developed BBF one month after hepatectomy and presented with refractory irritating cough accompanied by yellow bitter sputum.
J Thorac Dis
November 2024
Department of Anesthesiology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Centre for Specialty Strategy Research of Shanghai Jiao Tong University China Hospital Development Institute, Shanghai, China.
J Pharmacol Sci
December 2024
Department of Pharmacology, Jessenius Faculty of Medicine in Martin, Comenius University Bratislava, Mala Hora 11161/4B, Martin, Slovakia.
Asthma is a chronic inflammatory disease characterized by airway hyperresponsiveness, inflammation, and remodeling. Calcium (Ca)-activated chloride (Cl) channels, such as TMEM16A, are inferred to be involved in asthma. Therefore, the present study investigated the therapeutic potential of TMEM16A inhibition in a guinea pig model of ovalbumin (OVA)-induced allergic asthma.
View Article and Find Full Text PDFThorac Cardiovasc Surg
November 2024
Department of Anesthesiology, Friedrich-Alexander University Erlangen-Nuremberg, University Hospital Erlangen, Erlangen, Bayern, Germany.
Background: Difficult airway management is essential in anesthesia practice. Particular challenges are posed to patients who require intraoperative one-lung ventilation. Specific guidelines for these scenarios have been lacking.
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