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Korean Journal of Anesthesiology 1987;20(3):417-421.
DOI: https://doi.org/10.4097/kjae.1987.20.3.417   
Clinical Use of Univent Tube with Movable Blocker for the Patient of Bronchopleural Fistula.
Hung Kun Oh, Shin Ok Koh
Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
Abstract
The loss of Substantial portion of critically ill patient'a tidal volume through a broncho-pleural fistula may significantly alter the intrapulmonary distribution of ventilation, ventilation-perfusion matching and arterial blood gases. Prompt localization of surgical closure of bronchopleural fistu1a remains the treatment of Choice in most Patients. We had a chance to use a Univent tube with movable blocker to the patienta of breach-opleural fistula whith developed durinf esophageal bougienation. The endotracheal tube has two compartment, a large lumen for conventional air passage and a small lumen where a movable tube is placed. Intubation a accomplished by ordinary technique, advancement of the bronchial tube to the right lowers bronchus being guided by fiheroptic bronchoscopy.


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