Is a bronchial blocker just as good as a double-lumen tube for achieving adequate lung isolation? Book Section
| Authors: | Lewis, A.; Amar, D. |
| Editors: | Scher, C. S.; Clebone, A.; Miller, S. M.; Roccaforte, J. D.; Capan, L. M. |
| Article/Chapter Title: | Is a bronchial blocker just as good as a double-lumen tube for achieving adequate lung isolation? |
| Abstract: | A 48-year-old female (height 155 cm; weight 64 kg) with a history of moderate chronic obstructive pulmonary disease (COPD) was scheduled for right video-assisted thoracoscopic surgery (VATS) and segmentectomy for a lower lobe mass measuring 2.5 × 2.4 cm. On examination, she had a Mallampati Class II airway, a high-arched palate, a mouth opening >3 cm, and full range of neck motion. Anesthesia was induced with propofol and vecuronium. Direct laryngoscopy revealed a grade 3 view of the larynx with visualization only of the tip of the epiglottis. After 3 failed attempts with a Mac #3, a Miller #3, and a video laryngoscope, a supraglottic airway (SGA) was inserted and her oxygen saturation was maintained at >95 %. The anesthesia team called for help due to increasing airway edema, concerning that this could lead to a "can’t ventilate, can’t intubate" situation. © Springer International Publishing Switzerland 2017. |
| Keywords: | lung isolation; bronchial blocker; difficult airway; double-lumen tube |
| Book Title: | You're Wrong, I'm Right: Dueling Authors Reexamine Classic Teachings in Anesthesia |
| ISBN: | 978-3-319-43167-3 |
| Publisher: | Springer |
| Publication Place: | Cham, Switzerland |
| Date Published: | 2017-01-01 |
| Start Page: | 97 |
| End Page: | 99 |
| Language: | English |
| DOI: | 10.1007/978-3-319-43169-7_29 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Book Chapter: 29 -- Export Date: 2 February 2017 -- Source: Scopus |
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