Lobar bronchial blockade in bronchopleural fistula
Copyright policy )Lobar bronchial blockade in bronchopleural fistula
A 59-yr-old man with bullous lung disease developed a refractory bronchopleural fistula involving the right upper lobe. Despite independent lung and high-frequency jet ventilation, a large air leak persisted. Following the introduction of a bronchial blocker into the right upper lobe bronchus via the tracheal lumen of a left-sided endobronchial tube, oxygenation and ventilation improved, and the airleak was reduced by 90%. The presence of pneumonia led to an inexorably downhill course with death from overwhelming sepsis.
- Sunnybrook Health Science Centre Canada
- University of Toronto Canada
Male, Fistula, Pneumothorax, Carbon Dioxide, Middle Aged, Pleural Diseases, Catheterization, High-Frequency Jet Ventilation, Oxygen, Positive-Pressure Respiration, Humans, Bronchial Fistula, Lung
Male, Fistula, Pneumothorax, Carbon Dioxide, Middle Aged, Pleural Diseases, Catheterization, High-Frequency Jet Ventilation, Oxygen, Positive-Pressure Respiration, Humans, Bronchial Fistula, Lung
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