JOURNAL HOME CME HOME THIS MONTH PAST ISSUES ETOC COLLECTIONS
AUTHORS REVIEWERS EDITORIAL BOARD FEEDBACK RSS HELP
A&A International Anesthesia Research Society
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a colleague
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrowRequest Permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Web of Science (3)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Sandberg, W. S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Sandberg, W. S.
Related Collections
Right arrow Blood
Right arrow Resuscitation
Right arrow Technology

Anesth Analg 2005;100:1728-1730
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000149895.99151.20

TECHNOLOGY, COMPUTING, AND SIMULATION

Endobronchial Blocker Dislodgement Leading to Pulseless Electrical Activity

Warren S. Sandberg, MD, PhD

Department of Anesthesia & Critical Care, Massachusetts General Hospital, Boston, Massachusetts

Address correspondence and reprint requests to Warren S. Sandberg, MD, PhD, Department of Anesthesia & Critical Care, Massachusetts General Hospital, 55 Fruit St, Clinics 3, Boston, MA 02114. Address e-mail to wsandberg{at}partners.org.

This is a report of a case in which an endobronchial blocker was dislodged, leading to severe air trapping and a brief episode of pulseless electrical activity. Bronchial blockade for lung deflation was successfully instituted during emergency repair of a ruptured descending aortic aneurysm. During a period not involving manipulation of aortic cross-clamps, end-tidal CO2 decreased precipitously to zero and airway pressures increased markedly, followed by equalization of intracardiac pressures. Prompt deflation of the endobronchial blocker balloon reversed the problem. We hypothesize that when surgical manipulation dislodged the bronchial blocker into the tracheal position, leading to profound air trapping as successive, stacked tidal volumes were forced distal to the blocker.




This article has been cited by other articles:


Home page
 Br J AnaesthHome page
A. M.-H. Ho, M. K. Karmakar, L. A. H. Critchley, S. K. Ng, and C.-Y. Wat
Placing the tip of the endotracheal tube at the carina and passing the endobronchial blocker through the Murphy eye may reduce the risk of blocker retrograde dislodgement during one-lung anaesthesia in small children
Br. J. Anaesth., November 1, 2008; 101(5): 690 - 693.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
S. Ghosh, A. A. Klein, M. Prabhu, F. Falter, and J. E. Arrowsmith
The Papworth BiVent tube: a feasibility study of a novel double-lumen endotracheal tube and bronchial blocker in human cadavers
Br. J. Anaesth., September 1, 2008; 101(3): 424 - 428.
[Abstract] [Full Text] [PDF]


Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2005 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.