Journal article
Update on selective lobar blockade during pulmonary resections
Current opinion in anaesthesiology, Vol.22(1), pp.18-22
02/2009
DOI: 10.1097/ACO.0b013e32831a437a
PMID: 19295289
Abstract
This review is an update on the advantages that selective lobar blockade provides in thoracic surgical patients who had previous contralateral lobectomy or pneumonectomy.
Selective lobar blockade while allowing surgical exposure also improves oxygenation in patients who cannot tolerate complete lung collapse due to limited reserve or previous lung surgery.
Selective lobar blockade is an alternative technique to achieve lobar collapse in patients who have had a previous lobectomy or pneumonectomy and require thoracic surgery. This selective blockade can be accomplished by using a bronchial blocker or a double-lumen endotracheal tube. In patients with previous bronchial resection, recognition of tracheobronchial anatomy with the fiberoptic bronchoscope is mandatory to increase the successful placement and function of lung isolation devices. The advantages of a selective blockade are to avoid total lung collapse and only block the lobe(s) in which surgery takes place and to improve intraoperative oxygenation.
Details
- Title: Subtitle
- Update on selective lobar blockade during pulmonary resections
- Creators
- Javier H Campos - Department of Anesthesia, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA. javier-campos@uiowa.edu
- Resource Type
- Journal article
- Publication Details
- Current opinion in anaesthesiology, Vol.22(1), pp.18-22
- Publisher
- United States
- DOI
- 10.1097/ACO.0b013e32831a437a
- PMID
- 19295289
- ISSN
- 0952-7907
- eISSN
- 1473-6500
- Language
- English
- Date published
- 02/2009
- Academic Unit
- Anesthesia
- Record Identifier
- 9984006347502771
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