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[Initial experience with Arndt-type bronchial blockers in thoracic surgery].
R García Guasch1, P López de Castro, M Lucas
1Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona. rgarcia@ns.hugtip.scs.es
Revista Espanola De Anestesiologia Y Reanimacion
|March 8, 2005
Summary
Arndt-type bronchial blockers are feasible for thoracic surgery, offering acceptably short positioning times and excellent surgical conditions in most patients. This initial study shows promising results for elective procedures.
Area of Science:
- Thoracic Surgery
- Anesthesiology
- Pulmonary Medicine
Background:
- Bronchial blockers are used for lung isolation during thoracic surgery.
- Arndt-type blockers offer a specific design for this purpose.
Purpose of the Study:
- To evaluate the feasibility of using Arndt-type bronchial blockers in thoracic surgery.
- To assess positioning time, malpositioning, and lung collapse effectiveness.
Main Methods:
- 11 patients undergoing uncomplicated, short-duration thoracic surgery were enrolled.
- Data collected included patient demographics, surgical details, blocker positioning time, malpositioning events (via fiberoptic bronchoscopy), lung isolation time, surgery duration, and lung collapse effectiveness.
Main Results:
- The study included 5 women and 6 men, aged 25-81 years.
- Blocker positioning time ranged from 2 to 30 minutes (median 5 minutes).
- One case of malpositioning occurred. Lung collapse was excellent in 9 cases and acceptable in 2.
Conclusions:
- Arndt-type bronchial blockers are feasible for elective thoracic surgery.
- Initial positioning time is acceptably short.
- Surgical conditions achieved with these blockers are excellent in most cases.