Published in:
01-06-2016 | Thoracic Anesthesia (T Schilling, Section Editor)
Modern Bronchial Blockers in Thoracic Surgery
Authors:
Tom Kreft, Patrick Zardo, Henning Busk, Moritz Kretzschmar, Alf Kozian, Thomas Schilling
Published in:
Current Anesthesiology Reports
|
Issue 2/2016
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Abstract
Modern thoracic surgery with its emerging focus on minimally invasive techniques requires intraoperative one-lung ventilation to achieve optimal surgical exposure. The double-lumen tube has been considered to be the golden standard for almost 60 years; however, new indications and surgical techniques in thoracic, cardiac, esophageal and ventral spine surgery, as well as scheduling of formerly inoperable patients have made the use of double-lumen tubes unfeasible in some cases and not preferable in many. Modern bronchial blockers like the VivaSight endobronchial blocker or the Fuji Uniblocker have the potential to succeed the double-lumen tube. Their characteristics in daily practice will be discussed in the present article. The most exciting development is the integration of camera lenses in both single- and double-lumen tubes for endotracheal placement without additional bronchoscopy.