One-lung ventilation using a laryngeal mask airway and bronchial blocker in a patient with vocal cord cancer: a case report.

Abstract

BACKGROUND:

One-lung ventilation is a standard technique for thoracic anesthesia. Usually, one-lung ventilation requires a large-bore tracheal tube. Therefore, in patients with vocal cord morbidity, it is challenging to achieve one-lung ventilation while preventing the damage of vocal cord lesions.

CASE PRESENTATION:

A 77-year-old man was diagnosed with vocal cord cancer and lung tumor. One-lung ventilation with a combination of a laryngeal mask airway and bronchial blocker was planned to avoid unexpected vocal cord injury. After securing the airway with a laryngeal mask airway, a bronchial blocker was placed under fiberscope guidance. The bronchial blocker passed through a position far enough from the vocal cord lesion. The bronchial blocker provided a clear view of the operative field. The patient's perioperative course was uneventful.

CONCLUSIONS:

When one-lung ventilation is required for patients with vocal cord lesions, a combination of a laryngeal mask airway and bronchial blocker is considered a good option.

• Authors: Kenichi Takechi, Yoko Sanki, Kei Abe, Ichiro Shimizu
• Journal: JA clinical reports (JA Clin Rep) Vol. 8 Issue 1 Pg. 22 (Mar 17 2022) ISSN: 2363-9024 [Electronic] Germany
• PMID: 35298722 (Publication Type: Journal Article)
• Copyright: © 2022. The Author(s).