An bronchial blocker (also called endobronchial blocker) is a device which can be inserted down a tracheal tube after tracheal intubation so as to block off the right or left main bronchus of the lungs in order to be able to achieve a controlled one sided ventilation of the lungs in thoracic surgery. The lung tissue distal to the obstruction will collapse, thus allowing the surgeon's view and access to relevant structures within the thoracic cavity.[citation needed]
Bronchial blockers are used to achieve lung separation and one lung ventilation as an alternative to double-lumen endotrachealtubes (DLT) and are the method of choice in children and paediatric patients for whom even the smallest DLTs might be too big.[1]
Made by Fuji Systems, Tokyo, Japan, is a tracheal tube with a second lumen that contains a coaxial, balloon tipped catheter which can be advanced under fiber optic bronchoscopy and blocked in either bronchus.[1]
Arndt endobronchial blockeredit
Produced by Cook Critical Care, Bloomington, USA, is a catheter with a balloon tip and inner lumen which contains a flexible wire which is coupled to a fiber optical bronchoscope to guide the device into the desired bronchus.[1]
Cohen endobronchial blockeredit
By Cook Critical Care, is a catheter shaft with a distal soft nylon flexible tip and balloon which can be deflected by 90° to guide the device into either bronchus.[1]
Coopdech bronchial blockeredit
By Smith Medical, Rosmalen, NL, has a preformed angulation at the distal tip to aid placement in the desired bronchus.[2][3]
EZ‐blockeredit
By Teleflex Inc., USA, a Y-shaped bronchial blocker with two distal extensions to be placed in both main stem bronchi.[4]
^ abcdBrodsky, J. B. (11 December 2009). "Lung separation and the difficult airway". British Journal of Anaesthesia. 103 (Supplement 1): i66–i75. doi:10.1093/bja/aep262. PMID 20007992.
^Venkataraju, A; Rozario, C; Saravanan, P (April 2010). "Accidental fracture of the tip of the Coopdech bronchial blocker during insertion for one lung ventilation". Canadian Journal of Anesthesia. 57 (4): 350–4. doi:10.1007/s12630-009-9261-0. PMID 20049575.
^Ozaki, M; Murashima, K; Koga, K; Sata, T (April 2010). "Use of the Coopdech Bronchial Blocker as a tracheal tube introducer in a patient with difficult laryngoscopy". Journal of Anesthesia. 24 (2): 319–20. doi:10.1007/s00540-010-0890-9. PMID 20204422. S2CID 6945704.
^Mourisse, J.; Liesveld, J.; Verhagen, A.; van Rooij, G.; van der Heide, S.; Schuurbiers-Siebers, O.; Van der Heijden, E. (March 2013). "Efficiency, efficacy, and safety of EZ-blocker compared with left-sided double-lumen tube for one-lung ventilation". Anesthesiology. 118 (3): 550–61. doi:10.1097/ALN.0b013e3182834f2d. PMID 23299364.
January 01, 1970
bronchial, blocker, bronchial, blocker, also, called, endobronchial, blocker, device, which, inserted, down, tracheal, tube, after, tracheal, intubation, block, right, left, main, bronchus, lungs, order, able, achieve, controlled, sided, ventilation, lungs, th. An bronchial blocker also called endobronchial blocker is a device which can be inserted down a tracheal tube after tracheal intubation so as to block off the right or left main bronchus of the lungs in order to be able to achieve a controlled one sided ventilation of the lungs in thoracic surgery The lung tissue distal to the obstruction will collapse thus allowing the surgeon s view and access to relevant structures within the thoracic cavity citation needed Bronchial blockers are used to achieve lung separation and one lung ventilation as an alternative to double lumen endotrachealtubes DLT and are the method of choice in children and paediatric patients for whom even the smallest DLTs might be too big 1 Contents 1 Types 1 1 Univent tube 1 2 Arndt endobronchial blocker 1 3 Cohen endobronchial blocker 1 4 Coopdech bronchial blocker 1 5 EZ blocker 2 See also 3 ReferencesTypes editUnivent tube edit Made by Fuji Systems Tokyo Japan is a tracheal tube with a second lumen that contains a coaxial balloon tipped catheter which can be advanced under fiber optic bronchoscopy and blocked in either bronchus 1 Arndt endobronchial blocker edit Produced by Cook Critical Care Bloomington USA is a catheter with a balloon tip and inner lumen which contains a flexible wire which is coupled to a fiber optical bronchoscope to guide the device into the desired bronchus 1 Cohen endobronchial blocker edit By Cook Critical Care is a catheter shaft with a distal soft nylon flexible tip and balloon which can be deflected by 90 to guide the device into either bronchus 1 Coopdech bronchial blocker edit By Smith Medical Rosmalen NL has a preformed angulation at the distal tip to aid placement in the desired bronchus 2 3 EZ blocker edit By Teleflex Inc USA a Y shaped bronchial blocker with two distal extensions to be placed in both main stem bronchi 4 See also editCombitube Endotracheal tube Airtraq Laryngeal tubeReferences edit a b c d Brodsky J B 11 December 2009 Lung separation and the difficult airway British Journal of Anaesthesia 103 Supplement 1 i66 i75 doi 10 1093 bja aep262 PMID 20007992 Venkataraju A Rozario C Saravanan P April 2010 Accidental fracture of the tip of the Coopdech bronchial blocker during insertion for one lung ventilation Canadian Journal of Anesthesia 57 4 350 4 doi 10 1007 s12630 009 9261 0 PMID 20049575 Ozaki M Murashima K Koga K Sata T April 2010 Use of the Coopdech Bronchial Blocker as a tracheal tube introducer in a patient with difficult laryngoscopy Journal of Anesthesia 24 2 319 20 doi 10 1007 s00540 010 0890 9 PMID 20204422 S2CID 6945704 Mourisse J Liesveld J Verhagen A van Rooij G van der Heide S Schuurbiers Siebers O Van der Heijden E March 2013 Efficiency efficacy and safety of EZ blocker compared with left sided double lumen tube for one lung ventilation Anesthesiology 118 3 550 61 doi 10 1097 ALN 0b013e3182834f2d PMID 23299364 Retrieved from https en wikipedia org w index php title Bronchial blocker amp oldid 1166103256, wikipedia, wiki, book, books, library,
