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BJA Advance Access published online on October 14, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh292
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted August 26, 2004

Case Report

Experience with the Arndt paediatric bronchial blocker

S. H. Wald 1*, A. Mahajan 1, M. B. Kaplan 1, and J. B. Atkinson 1

1 Department of Anesthesiology at the David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA; Department of Surgery at the David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, USA

* To whom correspondence should be addressed. E-mail: swald{at}mednet.ucla.edu.


  Abstract

Previously reported techniques for single lung ventilation in children have failed to provide consistent, single lung ventilation with relative ease and reliability. We report our experience with the use of a new device, the Arndt 5 French (Fr) paediatric endobronchial blocker, for single lung ventilation in a series of 24 children. We were able to achieve single lung ventilation in 23 of the 24 patients (aged 2-16 yr). Placement required approximately 5-15 min. Attempts at placement were aborted in one patient who was unable to tolerate even short periods of apnoea because of lung pathology. Although it has some limitations, our experience suggests that the paediatric bronchial blocker can be used as a consistent, safe method of single lung ventilation in most young children.

Keywords: children; equipment, tubes endobronchial; lung, bronchus; surgery, thoracic; ventilation, one-lung.
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[Abstract] [Full Text] [PDF]


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