J Korean Med Sci.  2010 Jul;25(7):1083-1085. 10.3346/jkms.2010.25.7.1083.

High Frequency Jet Ventilation of One Lung using a Bronchial Blocker of Univent during Carinal Resection

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. icchoi@amc.seoul.kr

Abstract

Airway management during carinal resection should provide adequate ventilation and oxygenation as well as a good surgical field, but without complications such as barotraumas or aspiration. One method of airway management is high frequency jet ventilation (HFJV) of one lung or both lungs. We describe a patient undergoing carinal resection, who was managed with HFJV of one lung, using a de-ballooned bronchial blocker of a Univent tube without cardiopulmonary compromise. HFJV of one lung using a bronchial blocker of a Univent tube is a simple and safe method which does not need additional catheters to perform HFJV and enables the position of the stiffer bronchial blocker more stable in airway when employed during carinal resection.

Keyword

Carinal Resection; High Frequency Jet Ventilation; One Lung Ventilation; Univent Tube

MeSH Terms

High-Frequency Jet Ventilation/*instrumentation/*methods
Humans
Lung/*surgery
Lung Neoplasms/*surgery
Male
Middle Aged
Pulmonary Surgical Procedures/*instrumentation/*methods

Figure

  • Fig. 1 Chest computed tomogram showing the protruding lesion (arrow) in the posterior portion of trachea.

  • Fig. 2 Diagram showing the connection of the bronchial blocker to the jet ventilator for high frequency jet ventilation of one lung. The dashed lines indicated the resection performed.


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