Korean J Anesthesiol.  2019 Apr;72(2):184-187. 10.4097/kja.d.18.00237.

Bronchus perforation by EZ-Blockerâ„¢ endobronchial blocker during esophageal resection after neoadjuvant chemoradiation: a case report

Affiliations
  • 1Department of Surgery, Zuyderland Medical Center, Heerlen, Netherlands. jorienvandepas@gmail.com
  • 2Department of Anesthesiology, Zuyderland Medical Center, Heerlen, Netherlands.
  • 3Department of Intensive Care, Zuyderland Medical Center, Heerlen, Netherlands.

Abstract

BACKGROUND
Double-lumen tubes (DLT) and endobronchial blockers (EB) are used for one-lung ventilation in thoracic surgery. More complications are seen when using DLT when compared to EB, while major complications are rarely seen. CASE: This case report describes a perforation of the right mainstem bronchus by an EZ-Blocker EB in a patient undergoing a minimally invasive esophagectomy after neoadjuvant chemoradiation.
CONCLUSIONS
We advise to insert an EZ-Blockerâ„¢ EB with caution and only under direct bronchoscopic visualization, especially in previous irradiated patients.

Keyword

Bronchi; Esophageal neoplasms; Intubation; Neoadjuvant therapy; Thoracic surgery; Video-assisted surgery

MeSH Terms

Bronchi*
Esophageal Neoplasms
Esophagectomy
Humans
Intubation
Neoadjuvant Therapy
One-Lung Ventilation
Thoracic Surgery
Video-Assisted Surgery
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