Soonchunhyang Med Sci.  2019 Jun;25(1):80-82. 10.0000/sms.2019.25.1.80.

Anesthetic Experience of Unexpected Change to One-Lung Ventilation with Bronchial Blocker

• Na HW
• Lee MS
• Cho AN
• Chung YH
• Lee JH
• Cho SH
• Koo BS

• KMID: 2452803
• DOI: http://doi.org/10.0000/sms.2019.25.1.80

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.

Keyword

One-lung ventilation; Oximetry; Thoracoscopy

MeSH Terms

Adult
Emergencies
Female
Humans
Laparotomy
Lung
One-Lung Ventilation*
Oximetry
Oxygen
Thoracic Surgical Procedures
Thoracoscopy
Oxygen