Korean J Anesthesiol.  1987 Jun;20(3):417-421. 10.4097/kjae.1987.20.3.417.

Clinical Use of Univent Tube with Movable Blocker for the Patient of Bronchopleural Fistula

• Oh HK
• Koh SO

• KMID: 1933300
• DOI: http://doi.org/10.4097/kjae.1987.20.3.417

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.

MeSH Terms

Bronchi
Bronchoscopy
Critical Illness
Fistula*
Gases
Humans
Intubation
Tidal Volume
Ventilation
Gases