conclusions this report presents a new method for lung isolation in specific cases and in the absence of certain equipment. case presentation a 41-year-old woman with a history of pharyngo-laryngo-oesophagectomy (plo) and tracheostomy was a candidate for thoracic duct ligation because of chylothorax. since the patient had tracheostmy stomal stenosis, two cuffed tracheal tubes (internal diameter...

One-lung ventilation is routinely used to facilitate exposure for thoracic surgical procedures and can be achieved via several lung isolation techniques. The optimal method for lung isolation depends on a number of factors that include (1) the indication for lung isolation, (2) anatomic features of the upper and lower airway, (3) availability of equipment and devices, and (4) the anesthesiologi...

There have been parallel advancements in pediatric airway equipment, including the development of pediatric sized bronchial blockers, Univent tubes, and double lumen tubes, providing the ability to isolate the lung in pediatric patients as small as full term neonates. Despite this widespread ability, there remain significant regional differences in the use of lung isolation techniques, some cen...

BACKGROUND Lung isolation skills, such as correct insertion of double lumen endobronchial tube and bronchial blocker, are essential in anesthesia training; however, how to teach novices these skills is underexplored. Our aims were to determine (1) if novices can be trained to a basic proficiency level of lung isolation skills, (2) whether video-didactic and simulation-based trainings are compar...

Male guinea pigs show high susceptibility to Burkholderia mallei and have been used as animal models in glanders studies. The purpose of our study was to elucidate glanders comparative pathogenesis in guinea pigs. We present here the histological changes and bacterial isolation that develop over time in guinea pigs inoculated intraperitoneally (IP) with two strain of B. mallei. Ten male guinea ...

male guinea pigs show high susceptibility to burkholderia mallei and have been used as animal models in glanders studies. the purpose of our study was to elucidate glanders comparative pathogenesis in guinea pigs. we present here the histological changes and bacterial isolation that develop over time in guinea pigs inoculated intraperitoneally (ip) with two strain of b. mallei. ten male guinea ...

PURPOSE Attaining lung isolation in the infant undergoing thoracic anesthesia can be challenging for the anesthesiologist. We describe a novel approach to performing lung isolation in an infant undergoing thoracotomy for lobectomy using an Arndt pediatric endobronchial blocker via an extraluminal technique. CLINICAL FEATURES Lung isolation in an infant was achieved through the use of an Arndt...

Video-assisted thoracoscopic surgery for pediatric patients has gained popularity due to better outcomes than open surgery. For this procedure, one-lung ventilation may be necessary to provide an adequate surgical field. Confirming lung isolation is crucial when one-lung ventilation is required. Recently, we experienced a case in which one-lung ventilation was confirmed by ultrasonography using...