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KMID : 0356920190720020184
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Korean Journal of Anesthesiology
2019 Volume.72 No. 2 p.184 ~ p.187
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Bronchus perforation by EZ-BlockerTM endobronchial blocker during esophageal resection after neoadjuvant chemoradiation -a case report-
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van de Pas Jorien M.
van der Woude Margaretha C. E.
Belgers Henricus J.
Hulsewe Karel W. E.
de Loos Erik R.
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Abstract
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Background: Double-lumen tubes (DLT) and endobronchial blockers (EB) are used for one-lung ventilation in thoracic surgery. More complications are seen when using DLT when compared to EB, while major complications are rarely seen.
Case: This case report describes a perforation of the right mainstem bronchus by an EZ-Blocker EB in a patient undergoing a minimally invasive esophagectomy after neoadjuvant chemoradiation.
Conclusions: We advise to insert an EZ-BlockerTM EB with caution and only under direct bronchoscopic visualization, especially in previous irradiated patients.
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KEYWORD
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Bronchi, Esophageal neoplasms, Intubation, Neoadjuvant therapy, Thoracic surgery, Video-assisted surgery
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