Bronchus perforation by EZ-BlockerTM endobronchial blocker during esophageal resection after neoadjuvant chemoradiation -a case report.

Authors :: van de Pas JM
van der Woude MC
Belgers HJ
Hulsewé KW
de Loos ER
Source :: Korean journal of anesthesiology [Korean J Anesthesiol] 2019 Apr; Vol. 72 (2), pp. 184-187. Date of Electronic Publication: 2018 Dec 14.
Publication Year :: 2019
Abstract: Background: Double-lumen tubes (DLT) and endobronchial blockers (EB) are used for one-lung ventilation in thoracic surgery. More complications are seen when using DLT when compared to EB, while major complications are rarely seen.<br />Case: This case report describes a perforation of the right mainstem bronchus by an EZ-Blocker EB in a patient undergoing a minimally invasive esophagectomy after neoadjuvant chemoradiation.<br />Conclusions: We advise to insert an EZ-BlockerTM EB with caution and only under direct bronchoscopic visualization, especially in previous irradiated patients.

Subjects :: Aged
Esophagectomy instrumentation
Humans
Intubation, Intratracheal adverse effects
Intubation, Intratracheal instrumentation
Male
One-Lung Ventilation instrumentation
Bronchi injuries
Chemoradiotherapy trends
Esophagectomy adverse effects
Esophagus surgery
Neoadjuvant Therapy trends
One-Lung Ventilation adverse effects

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