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Cardiothoracic and Vascular Anesthesia
Anesthesia and Pain Medicine 2014;9(3):201-204.
Published online July 31, 2014.
Accidental avulsion of the cuff after one-lung ventilation by using the Coopdech bronchial blocker: A case report
Jae Young Bae, Ji Yeon Lee, Ji Hyeon Lee, So Ron Choi, Jong Hwan Lee
Department of Anesthesiology and Pain Medicine, Dong-A University College of Medicine, Busan, Korea.
Received: 11 December 2013   • Revised: 30 December 2013
A variety of anesthetic equipment has been introduced for one-lung ventilation (OLV) during video-assisted thoracoscopic surgeries. A double-lumen endobronchial tube or bronchial blockers are the most common techniques used for achieving OLV. We herein describe a case of general anesthesia requiring both the OLV and two-lung ventilation with a Coopdech bronchial blocker and a single-lumen endotracheal tube. A 43-year-old woman is being scheduled to undertake mediastinal mass removal and tonsillectomy. After performing tonsillectomy by using an endotracheal tube, a Coopdech bronchial blocker is being inserted into her right bronchus for video-assisted thoracoscopic surgery. After her surgery, we have encountered resistance while carefully trying to remove the bronchial blocker. When using fiberoptic bronchoscopy, we have observed that the cuff was being avulsed, which could be removed without difficulty. We thus describe a case in which the balloon cuff was detached and retained in the right bronchus.
Key Words: Bronchial blocker, Cuff avulsion, One-lung ventilation

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