Utility Of Fogarty Catheter As Bronchial Blocker In Achieving One-Lung Ventilation: A Case Report
Keywords:
anesthesia, bronchial blocker, Fogarty catheter, one lung ventilation, pediatric..Abstract
One lung ventilation (OLV) is an important procedure in pediatric anesthesia for thoracic surgery requiring lung isolation to enhance surgical visibility and prevent contamination of the healthy lung. In adults, double lumen tube (DLT) is the gold standard in OLV technique. Management of OLV in pediatric is still a challenge due to limitations in using small-sized DLT. As an alternative device, bronchial blockers was chosen to isolate non-dependent lung. Anesthesia management considered the risk of hypoxemia and ventilation-perfusion (V/Q) mismatch during lateral decubitus position. Close intraoperative monitoring of oxygenation and respiration ensured optimal outcomes without serious complications. This article reports an 8-year-old boy with a mediastinal mass undergoing Video Assisted Thoracoscopic Surgery (VATS). One lung ventilation technique were performed using a Fogarty catheter guided by fiber optic laryngoscopy (FOL).
