Lung isolation techniques for patients with difficult airway

Campos, Javier H.

doi:10.1097/aco.0b013e328331e8a7

Cited by 124 publications

(66 citation statements)

References 27 publications

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“…21,22 The blocker is a hollow tube, and once the balloon is inflated and the lung tissue distal to the balloon is isolated, suction can be applied to facilitate lung collapse. An advantage of the bronchial blocker is that this method does not require a DLT to be placed for the procedure or replaced following the procedure should ongoing mechanical ventilation be required.…”

Section: For Lung Isolationmentioning

confidence: 99%

Endotracheal Tubes: Old and NewDiscussion

et al. 2014

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The development and evolution of the endotracheal tube (ETT) have been closely related to advances in surgery and anesthesia. Modifications were made to accomplish many tasks, including minimizing gross aspiration, isolating a lung, providing a clear facial surgical field during general anesthesia, monitoring laryngeal nerve damage during surgery, preventing airway fires during laser surgery, and administering medications. In critical care management, ventilator-associated pneumonia (VAP) is a major concern, as it is associated with increased morbidity, mortality, and cost. It is increasingly appreciated that the ETT itself is a primary causative risk for developing VAP. Unfortunately, contaminated oral and gastric secretions leak down past the inflated ETT cuff into the lung. Bacteria can also grow within the ETT in biofilm and re-enter the lung. Modifications to the ETT that attempt to prevent bacteria from entering around the ETT include maintaining an adequate cuff pressure against the tracheal wall, changing the material and shape of the cuff, and aspirating the secretions that sit above the cuff. Attempts to reduce bacterial entry through the tube include antimicrobial coating of the ETT and mechanically scraping the biofilm from within the ETT. Studies evaluating the effectiveness of these modifications and techniques demonstrate mixed results, and clear recommendations for which modification should be implemented are weak.

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Section: For Lung Isolationmentioning

confidence: 99%

Endotracheal Tubes: Old and NewDiscussion

et al. 2014

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“…Bu hastaların bir bölümü radyoterapi almış ya da larenks cerrahisi geçirmiş ve/veya trakeotomize olabilirler. Rezeksiyon yapılmış hastaların % 5-10'unda 5 yıl içinde ikinci kez malignite gelişip, yine rezeksiyon gerekebilir [36][37][38] . Trakeobronşiyal bifürkasyona içten veya dıştan bası yapan bir lezyon alt havayolu anatomisini bozabilir (sol ana bronşa bası yapan endolüminal kitle veya inen torasik aort anevrizması).…”

Section: Bb'lerin Avantajlarıunclassified

Does the Future Belong to Bronchial Blockers?

Hoşten¹,

Aksu²

2014

GKDA Derg

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“…Campos describes two categories of patients at risk for difficult intubation during OLV: those with complications related to the upper airway and those related to the lower airway [12]. The former include a short neck and increased neck circumference, prominent upper incisors with a receding mandible, limited cervical mobility, limited jaw opening due to previous surgery, radiation therapy of the neck, previous hemiglossectomy or hemimandibulectomy, and tumors of the upper airway.…”

Section: Difficult Airway and Lung Isolationmentioning

confidence: 99%