Document Detail


Endobronchial blocker dislodgement leading to pulseless electrical activity.
MedLine Citation:
PMID:  15920204     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This is a report of a case in which an endobronchial blocker was dislodged, leading to severe air trapping and a brief episode of pulseless electrical activity. Bronchial blockade for lung deflation was successfully instituted during emergency repair of a ruptured descending aortic aneurysm. During a period not involving manipulation of aortic cross-clamps, end-tidal CO2 decreased precipitously to zero and airway pressures increased markedly, followed by equalization of intracardiac pressures. Prompt deflation of the endobronchial blocker balloon reversed the problem. We hypothesize that when surgical manipulation dislodged the bronchial blocker into the tracheal position, leading to profound air trapping as successive, stacked tidal volumes were forced distal to the blocker.
Authors:
Warren S Sandberg
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  100     ISSN:  0003-2999     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-27     Completed Date:  2005-06-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1728-30     Citation Subset:  AIM; IM    
Affiliation:
Department of Anesthesia & Critical Care, Massachusetts General Hospital, 55 Fruit St, Clinics 3, Boston, MA 02114, USA. wsandberg@partners.org
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MeSH Terms
Descriptor/Qualifier:
Aged
Aortic Rupture / surgery
Blood Gas Analysis
Bronchi*
Carbon Dioxide / blood
Cardiac Surgical Procedures
Constriction
Electrophysiology
Female
Humans
Monitoring, Intraoperative / methods*
Neuromuscular Blockade*
Respiration, Artificial
Tidal Volume / physiology
Chemical
Reg. No./Substance:
124-38-9/Carbon Dioxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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