Anesth Analg 2006;102:85-86
© 2006 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000181318.71935.9B
PEDIATRIC ANESTHESIA
Relief of Bronchial Obstruction Using a Fogarty® Catheter in a Patient with Bronchomalacia
Masaaki Tanino, MD,
Mamoru Takeuchi, MD, PhD,
Tatsuo Iwasaki, MD,
Yuichiro Toda, MD,
Katsunori Ohe, MD, PhD, and
Kiyoshi Morita, MD, PhD
Department of Anesthesiology and Resuscitology, Okayama University Medical School, Okayama, Japan
Address correspondence and reprint requests to Mamoru Takeuchi, MD, Department of Anesthesiology, Okayama University Medical School, 2–5–1 Shikata-cho, Okayama City, 700–8558, Japan. Address e-mail to take0412{at}cc.okayama-u.ac.jp.
Tracheobronchomalacia can be latent without showing any clinical manifestations and may be incidentally found during anesthesia. In such cases, hypoxia may occur during anesthesia. We experienced obstruction of the left main bronchus caused by bronchomalacia that was incidentally found during open-heart surgery in a 4-yr-old patient. We could not reopen the airway by routine techniques, such as positive pressure, and had great difficulty in weaning the patient from cardiopulmonary bypass. The use of a Fogarty® catheter allowed the relief of airway obstruction and weaning from cardiopulmonary bypass.
|
