Anesth Pain Med Search


Cardiothoracic and Vascular Anesthesia
Anesthesia and Pain Medicine 2011;6(4):353-356.
Published online October 31, 2011.
One-lung ventilation with pediatric Arndt endobronchial blocker in an adult patient with tracheal stenosis: A case report
Do Won Lee, Jung Min Hong, Ju Hee Park, Hae Kyu Kim
Department of Anesthesia and Pain Medicine, School of Medicine, Pusan National University, Busan, Korea. ccarrot@
In thoracic surgery, functional isolation of the lungs can be accomplished by several methods. However, for patients with tracheal stenosis, only limited choices are available to achieve one-lung ventilation (OLV) because of the difficulties posed by the stenotic trachea. In our patient, the narrowest site in the trachea was as small as 9.3 mm in diameter, and therefore a 28 Fr double-lumen endotracheal tube (DLT) or a Univent tube (inner diameter [ID] 6.0 mm) could not be inserted into the trachea. Recently, 7 and 9 Fr Arndt endobronchial blockers (AEB) used in adults could not even be used in our patient. Here we report a case of successful OLV that was performed using a pediatric wire-guided AEB and a small diameter single lumen endotracheal tube (SLT). We believe that this pediatric AEB is a safer and more effective option for achieving OLV in adult patients with tracheal stenosis.
Key Words: Arndt endobronchial blocker, One lung ventilation, Tracheal stenosis

Article category

Browse all articles >


Browse all articles >

Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail:                

Copyright © 2024 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next