1. Insertion of a Fogarty catheter through a slip joint section for neonatal and infantile one-lung ventilation : a report of two cases
- Author
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Hideto Sasaki, Hiroki Yonezawa, Katsuya Tanaka, Ryosuke Kawanishi, Yasuto Honda, Kentaro Hirota, and Yohei Sogabe
- Subjects
medicine.medical_specialty ,Catheters ,Dead space ,slip joint section ,Anesthesia, General ,General Biochemistry, Genetics and Molecular Biology ,law.invention ,Catheterization ,03 medical and health sciences ,0302 clinical medicine ,law ,medicine ,Fogarty catheter ,Intubation, Intratracheal ,Inner diameter ,Humans ,Tube (fluid conveyance) ,Child ,Endotracheal tube ,business.industry ,Slip joint ,Infant, Newborn ,Infant ,General Medicine ,One lung ventilation ,Surgery ,One-Lung Ventilation ,neonatal and infantile one-lung ventilation ,030228 respiratory system ,030220 oncology & carcinogenesis ,Ventilation (architecture) ,business - Abstract
Here, we report two cases involving a neonate and child in which a slip joint section was used to thread a Fogarty catheter into the endotracheal tube for one-lung ventilation (OLV). Both the neonate and infant required OLV, and were placed under general anesthesia. A Fogarty catheter was used for OLV. The Fogarty catheter was passed into the intraluminal side of the endotracheal tube through a slip joint section. OLV was maintained successfully without severe air leakage or Fogarty catheter displacement. The neonate had been intubated pre-operatively with a 3.5-mm inner diameter endotracheal tube, and we used that tube. These cases indicate that the technique can be applied to pre-operatively intubated patients and does not require surgeons to exchange endotracheal tubes. Use of the slip joint section technique facilitates Fogarty catheter fixation without additional dead space. J. Med. Invest. 68 : 209-212, February, 2021.
- Published
- 2021