Chapter 24. Thoracic Surgery
- Laura Diaz
- Lynne Maxwell
- Joseph Tobias
- One-lung Ventilation Techniques
- Univent Tubes for Children
- A standard 3.5-mm endotracheal tube (top) and a 3.5-mm Univent tube (Fuji Systems, Tokyo, Japan). The Univent is a single-lumen endotracheal tube with a moveable bronchial blocker that is incorporated into a channel alongside the tube. When compared with a standard 3.5-mm endotracheal tube, the 3.5-mm Univent has an outside diameter of 7.5–8.0 mm, making it equivalent to a standard 5.5 to 6.0-mm endotracheal tube (bottom).
- A 7-French Fogarty embolectomy catheter can be used to block off the bronchus of the lung to be deflated.
- The Fogarty embolectomy catheter can be placed through a hole in the side of a standard endotracheal tube.
- The Fogarty embolectomy catheter can be placed through a bronchoscopy adaptor into the endotracheal tube.
- A 7-French Arndt endobronchial blocker (Cook Critical Care, Birmingham, IN). The Arndt system has a hollow central channel and a wire loop for fiberoptic bronchoscope-guided placement. The Fogarty catheter does not have a central channel, but does have a removable, malleable wire inside which allows for bending or angling the distal end to help with placement.
- VATER/VACTERL Syndromes
- Congenital Cystic Adenomatiod Malformation – Illustration by Rob Fedirko
- Gross Classification of Tracheoesophageal Fistulae – Illustration by Rob Fedirko
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