Selective bronchial block with Uniblocker ™ in paediatric pulmonary sequestration

Publication date: Available online 14 August 2019Source: Trends in Anaesthesia and Critical CareAuthor(s): Neus Fuertes Saez, Francisco Escriba Alepuz, Pilar Argente NavarroAbstractTechnological advances and improvements in surgical equipment have made possible minimally invasive surgical methods, which offer multiple advantages for patients [1]. We can find among them Video-Assisted Thoracoscopic Surgery (VATS). The indications for VATS in children have increased exponentially [2] [2]. It requires the collaboration of the anesthesiologist, who adapts the anesthetic management to achieve correct one lung ventilation. It allows an adequate surgical field exposure [1], and it prevents hypoxemia. How we can achieve a correct lung isolation technique is one of the hypotheses that the anesthesiologist has to consider, basically in cases involving infants and children, because some techniques we would use in adults are not available. In this case, we use a Uniblocker™ 5 Frames (Fr) bronchial blocker. In the pediatric population, the problem is that bronchial blockers have very small or no working channels. This makes it difficult to aspirate the lung to collapse it. We want to show how to achieve complete lung collapse in a pediatric patient with Uniblocker™ 5 Fr which has no working channel.

Source: Trends in Anaesthesia and Critical Care - August 15, 2019 Category: Anesthesiology Source Type: research