caa a22 4500 445374683 CHVBK 20180317142959.0 cr unu---uuuuu 170323e20110401xx s 000 0 eng 10.1007/s00540-011-1106-7 doi (NATIONALLICENCE)springer-10.1007/s00540-011-1106-7 One-lung ventilation in a patient with stenting for tracheobronchial stenosis caused by esophageal cancer [Elektronische Daten] [Masaaki Kobayashi, Ryu Okutani] We have provided general anesthesia for a 53-year-old man scheduled to undergo lymph node removal for right mediastinal lymph node metastases caused by esophageal cancer. One year prior, acute respiratory failure occurred because of stenosis of the carinal bifurcation resulting from advanced esophageal cancer with tracheal invasion. The patient underwent placement of tracheobronchial stents (Spiral Z Stent) in two locations (left main bronchus and trachea/right main bronchus), followed by radiotherapy and chemotherapy. In the present case, after an 8.5-mm-ID tracheal tube was placed under bronchoscopic guidance, a 7.0 Fr. bronchial blocker (Arndt Endobronchial Blocker; Cook, Bloomington, IN, USA) was carefully inserted into the stent in the right main bronchus. Next, 3ml air was injected into the blocker cuff, and left-sided one-lung ventilation was performed. After surgery was completed, the bronchial blocker was removed under bronchoscopic guidance. We confirmed there was no tracheobronchial injury nor stent displacement or deformation, then removed the tracheal tube. Even in patients with tracheobronchial stent placement, one-lung ventilation can be safely and reliably performed by selecting an appropriate bronchial blocker, along with careful insertion into the stent and frequent checking of the blocker position. Japanese Society of Anesthesiologists, 2011 Tracheobronchial stenting nationallicence One-lung ventilation nationallicence General anesthesia nationallicence Esophageal cancer nationallicence Kobayashi Masaaki Department of Anesthesiology, Osaka City General Hospital and Children's Hospital, 2-13-22 Miyakojima-hondori, Miyakojima-ku, 534-0021, Osaka, Osaka, Japan aut Okutani Ryu Department of Anesthesiology, Osaka City General Hospital and Children's Hospital, 2-13-22 Miyakojima-hondori, Miyakojima-ku, 534-0021, Osaka, Osaka, Japan aut Journal of Anesthesia Springer Japan 25/2(2011-04-01), 267-270 0913-8668 25:2<267 2011 25 540 https://doi.org/10.1007/s00540-011-1106-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00540-011-1106-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kobayashi Masaaki Department of Anesthesiology, Osaka City General Hospital and Children's Hospital, 2-13-22 Miyakojima-hondori, Miyakojima-ku, 534-0021, Osaka, Osaka, Japan aut NATIONALLICENCE 700 1- Okutani Ryu Department of Anesthesiology, Osaka City General Hospital and Children's Hospital, 2-13-22 Miyakojima-hondori, Miyakojima-ku, 534-0021, Osaka, Osaka, Japan aut NATIONALLICENCE 773 0- Journal of Anesthesia Springer Japan 25/2(2011-04-01), 267-270 0913-8668 25:2<267 2011 25 540 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer