RESUMO
The endotracheal tube and bronchial blocker combination is an accepted lung isolation technique used during thoracic surgery. A reliable and inexpensive method of confirming lung isolation that uses capnographic monitoring of the bronchial blocker central lumen is presented. As the bronchial blocker balloon is inflated, lung isolation is confirmed when the normal respiratory variation of carbon dioxide (CO(2)) is replaced by a persistent plateau CO(2) waveform.
Assuntos
Capnografia/métodos , Intubação Intratraqueal/métodos , Cirurgia Torácica Vídeoassistida/métodos , Brônquios , Dióxido de Carbono/metabolismo , Cateterismo/métodos , Desenho de Equipamento , Feminino , Humanos , Pulmão/cirurgia , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Respiração Artificial/métodosRESUMO
Objective. Percutaneous techniques for occipital nerve stimulation have been in the literature since 1999. Lead migration continues to be the most common complication to the technique. The authors would like to introduce a new technique for revision of a superficially migrated occipital nerve stimulator electrode. Materials and Methods. Technical report of initial case where revision was performed. Results. The patient had successful revision of his superficially migrated occipital nerve stimulator using a new percutaneous approach. He had no signs of infection and full return of prior function of the stimulator at two weeks and three-month follow-up visits. Conclusion. This case demonstrates a new safer technique for revision of a superficially migrated occipital nerve stimulator lead. The technique is a more direct and simple solution to a common problem in the percutaneous placement of occipital nerve stimulators.
