Chest
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Percutaneous thin needle biopsy, a widely used method for diagnosis of lung conditions, is generally safe and effective. A near-fatal air embolism is reported that occurred during percutaneous thin needle aspiration biopsy of the lung. Successful treatment was accomplished by hyperbaric oxygen therapy. Physicians should be aware of this possible complication and identify the location of the nearest chamber for possible transfer.
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A recently developed endotracheal tube with a movable bronchial blocker (Univent tube) was used for single lung ventilation. A total of 50 intubations were undertaken for a wide variety of thoracic procedures. Each case was analyzed with respect to ease or difficulty of intubation, tube dislodgment, efficacy of lung collapse, and adequacy of single lung ventilation. Successful, safe selective intubation was accomplished in all cases.