• Chest · Oct 2001

    Case Reports

    First experience with fiberoptically directed wire-guided endobronchial blockade in severe pulmonary bleeding in an emergency setting.

    • B Kabon, B Waltl, J Leitgeb, S Kapral, and M Zimpfer.
    • Department of Anesthesiology and General Intensive Care, University of Vienna, Austria. barbara.kabon@univie.ac.at
    • Chest. 2001 Oct 1; 120 (4): 1399-402.

    AbstractWe report the first use of a new wire-guided endobronchial blocker in a critical respiratory situation caused by localized pulmonary bleeding. During emergency management, it became increasingly difficult to ventilate a multiple-trauma patient with a conventional single-lumen tube because of massive bleeding through the bronchus of the left lower lobe. Using the Arndt endobronchial blocker set (William Cook Europe A/S; Bjaeverskor, Denmark), we were able to prevent the spread of hemorrhaging and achieved effective ventilation and marked improvement in gas exchange. This new device allows the effective blockade of an isolated lobe under direct bronchoscopy to buy time for further intervention.

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