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Eur J Cardiothorac Surg 2005;28:174-175
© 2005 Elsevier Science NL

Case report

Use of the Arndt wire-guided endobronchial blocker via nasal for one-lung ventilation in patient with anticipated restricted mouth opening for esophagectomy

Department of Anesthesia, Chang Gung Memorial Hospital, 5, Fu-shin Street, Kweishan, Taoyuan 333, Taiwan, ROC

Received 19 October 2004; received in revised form 10 March 2005; accepted 11 March 2005.

^* Corresponding author. Tel.: +886 3 328 1200 2389; fax: +886 3 328 1200 2793. (Email: hocy{at}adm.cgmh.org.tw).

Functional separation of the lungs may be accomplished by several methods. Patient with restricted mouth opening has limited options for one-lung ventilation. We report the use of wire-guided endobronchial blockade, a new tool for achieving one-lung ventilation in a patient with restricted mouth opening requiring nasotracheal, fiberoptic intubation for esophagectomy and reconstruction with gastric tube substitution.

Key Words: Wire-guided endobronchial blockade • Restricted mouth opening • One-lung ventilation