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One-lung ventilation using a laryngeal mask airway and bronchial blocker in a patient with vocal cord cancer: a case report

BACKGROUND: One-lung ventilation is a standard technique for thoracic anesthesia. Usually, one-lung ventilation requires a large-bore tracheal tube. Therefore, in patients with vocal cord morbidity, it is challenging to achieve one-lung ventilation while preventing the damage of vocal cord lesions....

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Autores principales: Takechi, Kenichi, Sanki, Yoko, Abe, Kei, Shimizu, Ichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8931128/
https://www.ncbi.nlm.nih.gov/pubmed/35298722
http://dx.doi.org/10.1186/s40981-022-00513-8
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author Takechi, Kenichi
Sanki, Yoko
Abe, Kei
Shimizu, Ichiro
author_facet Takechi, Kenichi
Sanki, Yoko
Abe, Kei
Shimizu, Ichiro
author_sort Takechi, Kenichi
collection PubMed
description BACKGROUND: One-lung ventilation is a standard technique for thoracic anesthesia. Usually, one-lung ventilation requires a large-bore tracheal tube. Therefore, in patients with vocal cord morbidity, it is challenging to achieve one-lung ventilation while preventing the damage of vocal cord lesions. CASE PRESENTATION: A 77-year-old man was diagnosed with vocal cord cancer and lung tumor. One-lung ventilation with a combination of a laryngeal mask airway and bronchial blocker was planned to avoid unexpected vocal cord injury. After securing the airway with a laryngeal mask airway, a bronchial blocker was placed under fiberscope guidance. The bronchial blocker passed through a position far enough from the vocal cord lesion. The bronchial blocker provided a clear view of the operative field. The patient’s perioperative course was uneventful. CONCLUSIONS: When one-lung ventilation is required for patients with vocal cord lesions, a combination of a laryngeal mask airway and bronchial blocker is considered a good option.
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spelling pubmed-89311282022-04-01 One-lung ventilation using a laryngeal mask airway and bronchial blocker in a patient with vocal cord cancer: a case report Takechi, Kenichi Sanki, Yoko Abe, Kei Shimizu, Ichiro JA Clin Rep Case Report BACKGROUND: One-lung ventilation is a standard technique for thoracic anesthesia. Usually, one-lung ventilation requires a large-bore tracheal tube. Therefore, in patients with vocal cord morbidity, it is challenging to achieve one-lung ventilation while preventing the damage of vocal cord lesions. CASE PRESENTATION: A 77-year-old man was diagnosed with vocal cord cancer and lung tumor. One-lung ventilation with a combination of a laryngeal mask airway and bronchial blocker was planned to avoid unexpected vocal cord injury. After securing the airway with a laryngeal mask airway, a bronchial blocker was placed under fiberscope guidance. The bronchial blocker passed through a position far enough from the vocal cord lesion. The bronchial blocker provided a clear view of the operative field. The patient’s perioperative course was uneventful. CONCLUSIONS: When one-lung ventilation is required for patients with vocal cord lesions, a combination of a laryngeal mask airway and bronchial blocker is considered a good option. Springer Berlin Heidelberg 2022-03-17 /pmc/articles/PMC8931128/ /pubmed/35298722 http://dx.doi.org/10.1186/s40981-022-00513-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Takechi, Kenichi
Sanki, Yoko
Abe, Kei
Shimizu, Ichiro
One-lung ventilation using a laryngeal mask airway and bronchial blocker in a patient with vocal cord cancer: a case report
title One-lung ventilation using a laryngeal mask airway and bronchial blocker in a patient with vocal cord cancer: a case report
title_full One-lung ventilation using a laryngeal mask airway and bronchial blocker in a patient with vocal cord cancer: a case report
title_fullStr One-lung ventilation using a laryngeal mask airway and bronchial blocker in a patient with vocal cord cancer: a case report
title_full_unstemmed One-lung ventilation using a laryngeal mask airway and bronchial blocker in a patient with vocal cord cancer: a case report
title_short One-lung ventilation using a laryngeal mask airway and bronchial blocker in a patient with vocal cord cancer: a case report
title_sort one-lung ventilation using a laryngeal mask airway and bronchial blocker in a patient with vocal cord cancer: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8931128/
https://www.ncbi.nlm.nih.gov/pubmed/35298722
http://dx.doi.org/10.1186/s40981-022-00513-8
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