Anesth Pain Med.  2014 Jul;9(3):201-204.

Accidental avulsion of the cuff after one-lung ventilation by using the Coopdech bronchial blocker: A case report

• Bae JY
• Lee JY
• Lee JH
• Choi SR
• Lee JH

Abstract

A variety of anesthetic equipment has been introduced for one-lung ventilation (OLV) during video-assisted thoracoscopic surgeries. A double-lumen endobronchial tube or bronchial blockers are the most common techniques used for achieving OLV. We herein describe a case of general anesthesia requiring both the OLV and two-lung ventilation with a Coopdech bronchial blocker and a single-lumen endotracheal tube. A 43-year-old woman is being scheduled to undertake mediastinal mass removal and tonsillectomy. After performing tonsillectomy by using an endotracheal tube, a Coopdech bronchial blocker is being inserted into her right bronchus for video-assisted thoracoscopic surgery. After her surgery, we have encountered resistance while carefully trying to remove the bronchial blocker. When using fiberoptic bronchoscopy, we have observed that the cuff was being avulsed, which could be removed without difficulty. We thus describe a case in which the balloon cuff was detached and retained in the right bronchus.

Keyword

Bronchial blocker; Cuff avulsion; One-lung ventilation

MeSH Terms

Adult
Anesthesia, General
Bronchi
Bronchoscopy
Female
Humans
One-Lung Ventilation*
Thoracic Surgery, Video-Assisted
Tonsillectomy
Ventilation