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An innovative way to reinsert dislodged Arndt blocker using urological glide wire

The Arndt blocker is positioned in the desired bronchus using a wire loop which couples the blocker with a fiberoptic bronchoscope (FOB). The wire loop once removed cannot be reinserted in 5F and 7F blockers making repositioning of the blocker difficult. A 34-year-old female was to undergo left thor...

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Autores principales: Pillai, Rahul, Ancheri, Sneha Ann, Dharmalingam, Sathish Kumar, Sahajanandan, Raj
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4900362/
https://www.ncbi.nlm.nih.gov/pubmed/27052085
http://dx.doi.org/10.4103/0971-9784.179617
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author Pillai, Rahul
Ancheri, Sneha Ann
Dharmalingam, Sathish Kumar
Sahajanandan, Raj
author_facet Pillai, Rahul
Ancheri, Sneha Ann
Dharmalingam, Sathish Kumar
Sahajanandan, Raj
author_sort Pillai, Rahul
collection PubMed
description The Arndt blocker is positioned in the desired bronchus using a wire loop which couples the blocker with a fiberoptic bronchoscope (FOB). The wire loop once removed cannot be reinserted in 5F and 7F blockers making repositioning of the blocker difficult. A 34-year-old female was to undergo left thoracotomy followed by laparoscopic cholecystectomy. The left lung was isolated with a 7F Arndt bronchial blocker. During one-lung ventilation, the wire loop was removed for oxygen insufflation. There was loss of lung isolation during the procedure and dislodgement of the blocker was confirmed by FOB. The initial attempts to reintroduce the blocker into the left main bronchus failed. An alternative technique using a glide wire was attempted which resulted in successful reintroduction of the Arndt blocker. The 0.032 inch zebra glide wire may be effectively used to reposition a dislodged Arndt blocker if the wire loop has been removed.
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spelling pubmed-49003622016-06-16 An innovative way to reinsert dislodged Arndt blocker using urological glide wire Pillai, Rahul Ancheri, Sneha Ann Dharmalingam, Sathish Kumar Sahajanandan, Raj Ann Card Anaesth Heart to Heart Blog: Interesting Images The Arndt blocker is positioned in the desired bronchus using a wire loop which couples the blocker with a fiberoptic bronchoscope (FOB). The wire loop once removed cannot be reinserted in 5F and 7F blockers making repositioning of the blocker difficult. A 34-year-old female was to undergo left thoracotomy followed by laparoscopic cholecystectomy. The left lung was isolated with a 7F Arndt bronchial blocker. During one-lung ventilation, the wire loop was removed for oxygen insufflation. There was loss of lung isolation during the procedure and dislodgement of the blocker was confirmed by FOB. The initial attempts to reintroduce the blocker into the left main bronchus failed. An alternative technique using a glide wire was attempted which resulted in successful reintroduction of the Arndt blocker. The 0.032 inch zebra glide wire may be effectively used to reposition a dislodged Arndt blocker if the wire loop has been removed. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4900362/ /pubmed/27052085 http://dx.doi.org/10.4103/0971-9784.179617 Text en Copyright: © 2016 Annals of Cardiac Anaesthesia http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Heart to Heart Blog: Interesting Images
Pillai, Rahul
Ancheri, Sneha Ann
Dharmalingam, Sathish Kumar
Sahajanandan, Raj
An innovative way to reinsert dislodged Arndt blocker using urological glide wire
title An innovative way to reinsert dislodged Arndt blocker using urological glide wire
title_full An innovative way to reinsert dislodged Arndt blocker using urological glide wire
title_fullStr An innovative way to reinsert dislodged Arndt blocker using urological glide wire
title_full_unstemmed An innovative way to reinsert dislodged Arndt blocker using urological glide wire
title_short An innovative way to reinsert dislodged Arndt blocker using urological glide wire
title_sort innovative way to reinsert dislodged arndt blocker using urological glide wire
topic Heart to Heart Blog: Interesting Images
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4900362/
https://www.ncbi.nlm.nih.gov/pubmed/27052085
http://dx.doi.org/10.4103/0971-9784.179617
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