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Anesthetic Experience of Unexpected Change to One-Lung Ventilation with Bronchial Blocker
Soonchunhyang Medical Science ; : 80-82, 2019.
Article in Korean | WPRIM | ID: wpr-761385
ABSTRACT
One-lung ventilation is an anesthesiological technique to accomplish surgical visualization during thoracic surgical procedures, and is often required unexpectedly during surgery. Traditionally the double lumen tube is considered the gold standard for lung separation. Despite being equally feasible for standard situations, there are special populations and circumstances requiring the use of a bronchial blocker to establish one-lung ventilation. We have experienced unexpected change to one-lung ventilation with bronchial blocker. A 40-year-old (158 cm, 48 kg) woman was scheduled for emergency exploratory laparotomy due to panperitonitis. A sudden diaphragmatic perforation occurred during the operation. Since oxygen saturation was reduced, intraoperative tube change was not available. Therefore, one-lung ventilation was done with bronchial blockers. After the bronchial blocker was placed, one-lung ventilation was well maintained and the operation was terminated successfully.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Oxygen / Thoracoscopy / Oximetry / Thoracic Surgical Procedures / Emergencies / One-Lung Ventilation / Laparotomy / Lung Limits: Adult / Female / Humans Language: Korean Journal: Soonchunhyang Medical Science Year: 2019 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Oxygen / Thoracoscopy / Oximetry / Thoracic Surgical Procedures / Emergencies / One-Lung Ventilation / Laparotomy / Lung Limits: Adult / Female / Humans Language: Korean Journal: Soonchunhyang Medical Science Year: 2019 Type: Article