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Massive Hemoptysis Cases Intubated with the UniventⓇ Bronchial Blocker for Lung Protection

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2012, v.72 no.2, pp.212-217








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Abstract

Massive hemoptysis is a life-threatening condition and sometimes leads to death due to airway obstruction rather than exsanguinations. In a critical hemoptysis, endotracheal intubation may be necessary to maintain adequate gas exchange and protect the unaffected side of the lung. Bronchial blockers (BBs), commonly used technique for one-lung ventilation in thoracic or cardiac surgeries, are valuable devices for protecting the airway in massive endobronchial bleeding. We report three cases intubated with BBs, UniventⓇ, in massive hemoptysis. We suggest that BBs are one of the indispensable equipments for respiratory specialized wards and intensive care units.

keywords
Hemoptysis, Intubation, Airway management, instrumentation

Reference

1.

1. Garzon AA, Cerruti MM, Golding ME. Exsanguinating hemoptysis. J Thorac Cardiovasc Surg 1982;84:829-33.

2.

2. Santana-Cabrera L, Arroyo MF, Rodriguez AU, Sanchez- Palacios M. Double-lumen endobronchial tube in the emergency management of massive hemoptysis. J Emerg Trauma Shock 2010;3:305.

3.

3. Korean Academy of Tuberculosis and Respiratory Disease. Respiratory disease. Seoul: Koon Ja Publish Inc.; 2004.

4.

4. Fauci AS, Braunwald E, Kasper D, Hauser S, Longo DL, Jameson JL, et al. Harrison's principles of internal medicine. 17th ed. New York: McGraw-Hill; 2008.

5.

5. Oh YS, Choi IH, Jung TW, Kwak IY. Clinical evaluation of univent tube for one lung ventilation. Korean J Anesthesiol 1996;30:41-5.

6.

6. Seo DM, Lee JH, Lee SG, Ban JS, Min BW. One lung ventilation using a uninventⓇ tube in a patient with permenant tracheostomy after total laryngectomy: a case report. Korean J Anesthesiol 2006;50:213-6.

7.

7. Jean-Baptiste E. Clinical assessment and management of massive hemoptysis. Crit Care Med 2000;28:1642-7.

8.

8. Lopez JK, Lee HY. Bronchial artery embolization for treatment of life-threatening hemoptysis. Semin Intervent Radiol 2006;23:223-9.

9.

9. Chun JY, Morgan R, Belli AM. Radiological management of hemoptysis: a comprehensive review of diagnostic imaging and bronchial arterial embolization. Cardiovasc Intervent Radiol 2010;33:240-50.

10.

10. Jougon J, Ballester M, Delcambre F, Mac Bride T, Valat P, Gomez F, et al. Massive hemoptysis: what place for medical and surgical treatment. Eur J Cardiothorac Surg 2002;22:345-51.

11.

11. Campos JH, Hallam EA, Van Natta T, Kernstine KH. Devices for lung isolation used by anesthesiologists with limited thoracic experience: comparison of double- lumen endotracheal tube, Univent torque control blocker, and Arndt wire-guided endobronchial blocker. Anesthesiology 2006;104:261-6.

12.

12. Narayanaswamy M, McRae K, Slinger P, Dugas G, Kanellakos GW, Roscoe A, et al. Choosing a lung isolation device for thoracic surgery: a randomized trial of three bronchial blockers versus double-lumen tubes. Anesth Analg 2009;108:1097-101.

13.

13. Ueda K, Goetzinger C, Gauger EH, Hallam EA, Campos JH. Use of bronchial blockers: a retrospective review of 302 cases. J Anesth 2011 Oct 16. [Epub]. DOI: 10.1007/s00540-011-1245-x.

14.

14. Inoue H, Shohtsu A, Ogawa J, Koide S, Kawada S. Endotracheal tube with movable blocker to prevent aspiration of intratracheal bleeding. Ann Thorac Surg 1984;37:497-9.

15.

15. Nishiumi N, Nakagawa T, Masuda R, Iwasaki M, Inokuchi S, Inoue H. Endobronchial bleeding associated with blunt chest trauma treated by bronchial occlusion with a Univent. Ann Thorac Surg 2008;85:245- 50.

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