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BJA Advance Access published online on September 15, 2008
British Journal of Anaesthesia, doi:10.1093/bja/aen264
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© The Board of Management and Trustees of the British Journal of Anaesthesia 2008. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Placing the tip of the endotracheal tube at the carina and passing the endobronchial blocker through the Murphy eye may reduce the risk of blocker retrograde dislodgement during one-lung anaesthesia in small children{dagger}

A. M.-H. Ho1,*, M. K. Karmakar1, L. A. H. Critchley1, S. K. Ng1 and C.-Y. Wat2

1 Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, People's Republic of China
2 Department of Anaesthesiology, Queen Mary Hospital, Hong Kong SAR, People's Republic of China

* Corresponding author. E-mail: hoamh{at}yahoo.com

We present nine cases of one-lung anaesthesia in small children and infants in which a novel technique was used to reduce the risk of endobronchial blocker retrograde dislodgement. The technique involved threading the stem of the blocker through the Murphy eye of the endotracheal tube (ETT) and deliberately passing the tip of the ETT all the way to the carina. The tip of the ETT blocked any retrograde movement of the blocker.

Keywords: anaesthesia, paediatric; equipment, tubes endobronchial blocker; surgery, thoracic; ventilation, one-lung

{dagger} This work is attributable entirely to the Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong SAR, People's Republic of China.


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E-letters:

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Limitation of use of bronchial blocker via Murphy eye of the endotracheal tube to prevent its dislod
Rakesh Garg, et al.
British Journal of Anaesthesia, 16 Nov 2008 [Full text]
Endobronchial blocker placement in small children
Anthony M-H Ho
British Journal of Anaesthesia, 18 Nov 2008 [Full text]

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