Cheng R K, Chung H S, Tan P P
Department of Anesthesiology, Chang Gung Memorial Hospital, Taipei.
Ma Zui Xue Za Zhi. 1993 Sep;31(3):187-90.
Three cases of thoracotomy with unsuccessful double-lumen endobronchial intubation were reported. Two were first intubated with an endotracheal tube. In the first patient a Fogarty catheter was inserted alongside the endotracheal tube into the right main bronchus to act as a bronchial blocker. The second patient employed a tracheal tube exchanger to change the endotracheal tube into an Univent tube for one lung ventilation. Nasal fiberoptic intubation was performed in the third case and a Fogarty catheter was passed through the lumen of the endotracheal tube into the left main bronchus as the bronchial blocker. All reported cases were operated with one lung ventilation successfully without the use of a double-lumen endobronchial tube.
报告了3例开胸手术中双腔支气管插管失败的病例。其中2例最初使用气管内导管进行插管。第一例患者将Fogarty导管沿气管内导管插入右主支气管，作为支气管阻塞器。第二例患者使用气管导管交换器将气管内导管更换为Univent导管进行单肺通气。第三例采用鼻纤维支气管镜插管，并将Fogarty导管经气管内导管腔插入左主支气管作为支气管阻塞器。所有报告的病例均未使用双腔支气管导管而成功进行了单肺通气手术。
