One-lung ventilation with a bronchial blocker through a single-lumen endotracheal tube in a small woman: A case report

Seo, So Jin; Lim, Tae Wan; Son, Il Soon; Kim, Jun Hyun; Hong, Deok Mann; Kang, Mae Hwa; Jeon, Yun Seok; Bahk, Jae Hyon

Case Report

Cardiothoracic and Vascular Anesthesia

Anesthesia and Pain Medicine 2010;5(2):130-134.
Published online April 30, 2010.

One-lung ventilation with a bronchial blocker through a single-lumen endotracheal tube in a small woman: A case report

So Jin Seo, Tae Wan Lim, Il Soon Son, Jun Hyun Kim, Deok Mann Hong, Mae Hwa Kang, Yun Seok Jeon, Jae Hyon Bahk

Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, Korea. bahkjh@plaza.snu.ac.kr

Abstract

One-lung ventilation with a double-lumen endotracheal tube or a Univent(R) tube may be difficult or dangerous in small patients, children, and patients with anatomic abnormalities of the airway. The use of a bronchial blocker through a single-lumen endotracheal tube has been used successfully in such situations. A 69-year-old woman was scheduled for Ivor-Lewis operation and right upper lobectomy. She could not be intubated with a internal diameter 6.0 mm Univent(R) tube owing to narrow diameter of the vocal cord. We report a successful one-lung ventilation using a Uniblocker(R) through an adult-size single-lumen endotracheal tube in a small woman, who needed postoperative ventilator care.

Key Words: Bronchial blocker, One-lung ventilation, Small woman