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Canadian Journal of Anesthesia, Vol 39, 176-178, Copyright © 1992 by Canadian Anesthesiologists' Society

ARTICLES

Lobar bronchial blockade in bronchopleural fistula

Z Otruba and D Oxorn
Surgical Intensive Care Unit, Sunnybrook Health Science Centre, Toronto, Ontario, Canada.

A 59-yr-old man with bullous lung disease developed a refractory bronchopleural fistula involving the right upper lobe. Despite independent lung and high-frequency jet ventilation, a large air leak persisted. Following the introduction of a bronchial blocker into the right upper lobe bronchus via the tracheal lumen of a left-sided endobronchial tube, oxygenation and ventilation improved, and the airleak was reduced by 90%. The presence of pneumonia led to an inexorably downhill course with death from overwhelming sepsis.


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Copyright © 1992 by the Canadian Anesthesiologists' Society.