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Anaesth Intensive Care · Apr 2003
Case ReportsUse of a Fogarty catheter as a bronchial blocker through a single-lumen endotracheal tube in patients with subglottic stenosis.
- H P Park, J H Bahk, J H Park, and Y S Oh.
- Department of Anesthesiology, Seoul National University Hospital, Seoul, Korea.
- Anaesth Intensive Care. 2003 Apr 1;31(2):214-6.
AbstractOne-lung ventilation can be achieved with a double-lumen tube or a bronchial blocker. However, the larger outer diameters of double-lumen or Univent tubes may prevent their passage through an area of subglottic stenosiss. We present five cases of subglottic stenosis in which a Fogarty catheter was used as a bronchial blocker through a single-lumen endotracheal tube. The outer diameters of a double-lumen tube, Univent tube and single-lumen tube were compared. Despite special equipment designed for one-lung ventilation, the use of a bronchial blocker through a single-lumen tube, which has the thinnest available wall thickness, seems to be one of the most effective and safest ways of achieving one-lung ventilation in patients with subglottic stenosis or narrowing.
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