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Published in: Current Anesthesiology Reports 2/2016

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.
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Metadata
Title
Modern Bronchial Blockers in Thoracic Surgery
Authors
Tom Kreft
Patrick Zardo
Henning Busk
Moritz Kretzschmar
Alf Kozian
Thomas Schilling
Publication date
01-06-2016
Publisher
Springer US
Published in
Current Anesthesiology Reports / Issue 2/2016
Electronic ISSN: 2167-6275
DOI
https://doi.org/10.1007/s40140-016-0162-9

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