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Cardiothoracic and Vascular Anesthesia
Anesthesia and Pain Medicine 2011;6(4):342-344.
Published online October 31, 2011.
Airway obstruction by dislodgement of an endobronchial tumor fragment during right lung lobectomy using a bronchial blocker: A case report
Jae Hee Woo, Guie Yong Lee, Rack Kyung Chung, Youn Jin Kim, Chi Hyo Kim, Dong Yeon Kim, Kwan Chang Kim
1Department of Anesthesiology and Pain Medicine, Ewha Womans University School of Medicine, Seoul, Korea. lgyanes@ewha.ac.kr
2Department of Thoracic and Cardiovascular Surgery, Ewha Womans University School of Medicine, Seoul, Korea.
Abstract
Dislodgement of tumor fragment with airway obstruction in a dependent bronchus can be a cause of severe hypoxemia, which is a rare but very serious complication of lung surgery. We describe a case of airway obstruction following deflation of a balloon of a bronchial blocker of a Univent tube during right bilobectomy. Following reintubation with a single lumen tube, the patient was simultaneously extubated with the biopsy forceps holding the mass. This report underlines that anesthesiologist should be alert to a possibility of airway obstruction following deflation a balloon of a bronchial blocker.
Key Words: Airway obstruction, Lung surgery, Univent tube


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