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Vol. 43. Issue 6.
Pages 346-348 (January 2007)
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Vol. 43. Issue 6.
Pages 346-348 (January 2007)
Case Report
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Selective Lobar Blockade Using an Arndt Endobronchial Blocker in 2 Patients With Respiratory Compromise Who Underwent Lung Resection
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Clara Espí
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clara.espi@uv.es

Correspondence: Dra. C. Espì. Hospital Universitario Germans Trias i Pujol. Ctra. Canyet, s/n. 08916 Badalona. Barcelona. España
, Roser García-Guasch, Cristina Ibáñez, Esther Fernández, Julio Astudillo
Hospital Universitario Germans Trias i Pujol, Badalona, Barcelona, Spain
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Selective lobar blockade is an alternative to one-lung ventilation in thoracic surgery. We present 2 cases of lung resection with severe respiratory compromise. The first patient had previously undergone a left lower lobectomy and 2 atypical resections in the left and right upper lobes and was scheduled for a right lower lobectomy. The second patient presented chronic obstructive pulmonary disease with forced vital capacity of 1200 mL (26% of predicted value) and forced expiratory volume in 1 second of 820 mL (25% of predicted value) and was scheduled for an atypical resection of the left upper lobe with pleural abrasion. Selective lobar blockade was achieved in both cases using an Arndt endobronchial blocker. Ventilation during the operation was sufficient. Surgery was uneventful in both cases and lobar collapse was satisfactory.

Key words:
Thoracic surgery
Bronchial blockers
Arndt endobronchial blocker
Selective lobar blockade

En cirugìa toràcica el bloqueo lobular selectivo representa una alternativa a la ventilaciòn unipulmonar. Se presentan 2 casos de cirugìa de resecciòn pulmonar con un compromi-so respiratorio grave. El primero, sometido anteriormente a una lobectomìa inferior izquierda y 2 resecciones atìpicas en lòbulos superiores izquierdo y derecho, se programò para una nueva lobectomìa del lòbulo inferior derecho. El segun-do paciente, que presentaba una enfermedad pulmonar obs-tructiva crònica grave con una capacidad vital forzada de 1.200 ml (26%) y volumen espiratorio forzado en el primer segundo de 820 ml (25%), se programò para resecciòn atìpi-ca del lòbulo superior izquierdo con abrasiòn pleural. En ambos casos se consiguieron bloqueos lobulares selectivos con el bloqueador endobronquial de Arndt. La ventilaciòn fue adecuada durante la intervenciòn. La cirugìa transcu-rriò sin incidencias en ambos casos y el colapso lobular fue correcto.

Palabras clave:
Cirugìa toràcica
Bloqueadores bronquiales
Bloqueador bronquial de Arndt
Bloqueo lobular selectivo
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REFERENCES
[1]
RG MacGillivray.
Evaluation of a new tracheal tube with a movable bronchus blocker.
Anaesthesia, 43 (1988), pp. 687-689
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