Abstract
Bronchial Blockers (BBs) are perfect devices for achieving pulmonary isolation in patients that are about to undergo cardiac, thoracic, mediastinal, vascular, oesophageal or orthopaedic interventions. They are highly functional in procedures that implicate the thoracic cavity and require a one-lung ventilation and collapse of the contralateral lung.
BBs are devices that facilitate the blocking of a major bronchus in order to allow for a distal pulmonary collapse or occlusion through the introduction of the blocker into the corresponding main bronchus or bronchial lobe that the practitioner wishes to collapse.
Two types of BBs exist; firstly including those that are independent, introduced through a standard endotracheal tube and secondly those that are introduced via a specific canal within a special tracheal tube such as the Univent.
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References
Campos JH. Progress in lung separation. Thorac Surg Clin. 2005;15:71–83.
Inoue H, Shohtsu A, Ogawa J, Kawada S, Koide S. New device for one-lung anesthesia: endotracheal tube with movable blocker. J Thorac Cardiovasc Surg. 1982;83(6):940–1.
Garcia-Guasch R, Campos JH, Granell M, Peña JJ. Applications for bronchial blockers in thoracic surgery. Rev Esp Anestesiol Reanim. 2001;54(9):547–55.
Granell M, Solís P, Cordova C, Cobo I, Guijarro R, de Andrés JA. Intubation in two patients with difficult airway management and tracheal stenosis after tracheostomy in thoracic surgery. Rev Esp Anestesiol Reanim. 2018;65(6):347–50.
Eisenkraft JFCE, Neustein SM. Anesthesia for thoracic surgery. In: Barash CB, Stoelting RK, Cahalan MK, Ortega R, Stock MC, editors. Clinical anesthesia. Philadelphia, PA: Lippincott Williams & Wilkins; 2013. p. 1030–75.
Brodsky JB. Con: a bronchial blocker is not a substitute for a double-lumen endobronchial tube. J Cardiothorac Vasc Anesth. 2015;29(1):237–9.
Campos JH, Kernstine KH. A comparison of a left-sided Broncho-Cath with the torque control blocker univent and the wire-guided blocker. Anesth Analg. 2003;96(1):283–9.
Mourisse J, Liesveld J, Verhagen A, van Rooij G, van der Heide S, Schuurbiers-Siebers O, et al. Efficiency, efficacy, and safety of EZ-blocker compared with left-sided double-lumen tube for one-lung ventilation. Anesthesiology. 2013;118(3):550–61.
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(4):1097–101.
Bauer C, Winter C, Hentz JG, Ducrocq X, Steib A, Dupeyron JP. Bronchial blocker compared to double-lumen tube for one-lung ventilation during thoracoscopy. Acta Anaesthesiol Scand. 2001;45(2):250–4.
Slinger PDCJ. Anestesia para la cirugía torácica. In: Miller RDEL, Fleisher LA, Wiener-Kronish JP, Young WL, editors. Miller anestesia. Séptima edición ed. Barcelona: Elsevier; 2010. p. 1600.
Campos J. Update on selective lobar blockade during pulmonary resections. Curr Opin Anaesthesiol. 2009;22:18–22.
Morales J, Granell M, Biosca E, Guijarro R, Arnau A, de Andrés J. Right lobar isolation by different methods in two patients with previous left lung resection. J Cardiothorac Vasc Anesth. 2017;31:S53.
Granell M, Parra MJ, Jiménez MJ, et al. Review of difficult airway mangement in thoracic surgery. Rev Esp Anestesiol Reanim. 2018;65(1):31–40.
Nishiumi N, Nakagawa T, Masuda R, et al. Endobronchial bleeding associated with blunt chest trauma treated by bronchial occlusion with a Univent. Ann Thorac Surg. 2008;85(1):245–50.
Cohen E. Strategies for lung isolation: to block or not to block? Can J Anaesth. 2016;63(7):797–801.
Neustein SM. Pro: bronchial blockers should be used routinely for providing one-lung ventilation. J Cardiothorac Vasc Anesth. 2015;29(1):234–6.
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Granell Gil, M., Tatay Vivó, J., Morales Sarabia, J., Cohen, E. (2020). Bronchial Blockers: Applications in Thoracic Surgery. In: Granell Gil, M., Şentürk, M. (eds) Anesthesia in Thoracic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-28528-9_5
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DOI: https://doi.org/10.1007/978-3-030-28528-9_5
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