Experience with the Arndt paediatric bronchial blocker

Previously reported techniques for single lung ventilation in children have failed to provide consistent, single lung ventilation with relative ease and reliability. We report our experience with the use of a new device, the Arndt 5 French (Fr) paediatric endobronchial blocker, for single lung venti...

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Bibliographic Details
Published in:	British journal of anaesthesia : BJA Vol. 94; no. 1; pp. 92 - 94
Main Authors:	Wald, S.H., Mahajan, A., Kaplan, M.B., Atkinson, J.B.
Format:	Journal Article
Language:	English
Published:	Oxford Elsevier Ltd 01-01-2005 Oxford University Press Oxford Publishing Limited (England)
Subjects:	Adolescent Anesthesia Anesthesia, General Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Bronchi bronchus Child Child, Preschool children equipment, tubes endobronchial Fiber Optic Technology Humans lung lung, bronchus Medical sciences one-lung Respiration, Artificial - instrumentation Respiration, Artificial - methods surgery surgery, thoracic thoracic Thoracic Surgical Procedures tubes endobronchial ventilation ventilation, one-lung lung, bronchus equipment, tubes endobronchial ventilation, one-lung children surgery, thoracic Human Anatomic pathology children; equipment tubes endobronchial; lung thoracic; ventilation bronchus; surgery Surgery Bronchus Anesthesia Reliability Child one-lung
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Summary:	Previously reported techniques for single lung ventilation in children have failed to provide consistent, single lung ventilation with relative ease and reliability. We report our experience with the use of a new device, the Arndt 5 French (Fr) paediatric endobronchial blocker, for single lung ventilation in a series of 24 children. We were able to achieve single lung ventilation in 23 of the 24 patients (aged 2–16 yr). Placement required approximately 5–15 min. Attempts at placement were aborted in one patient who was unable to tolerate even short periods of apnoea because of lung pathology. Although it has some limitations, our experience suggests that the paediatric bronchial blocker can be used as a consistent, safe method of single lung ventilation in most young children.
Bibliography:	Corresponding author. E-mail: swald@mednet.ucla.edu local:aeh292 ark:/67375/HXZ-86TFZSDS-B istex:5191776F2931930130396787F7B3552F5E2265AB ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0007-0912 1471-6771
DOI:	10.1093/bja/aeh292