The Experts below are selected from a list of 231 Experts worldwide ranked by ideXlab platform
Patrick J. Gullane - One of the best experts on this subject based on the ideXlab platform.
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A novel technique in placing a Fogarty Catheter in the upper limb of a Montgomery T-tube for a patient undergoing tracheal resection
Canadian journal of anaesthesia = Journal canadien d'anesthesie, 2010Co-Authors: David T. Wong, Jacqueline A. Woo, Patrick J. GullaneAbstract:To the Editor: A number of ventilation strategies exist for patients with Montgomery T-tubes during tracheal resection. We describe a novel technique with antegrade passage of a Fogarty Catheter through the mouth, guided by a suture to the upper limb of the T-tube. Written consent for publication of this article was obtained from the patient. A 59-yr-old female patient (weight 89 kg, height 173 cm) diagnosed with idiopathic tracheal stenosis was scheduled to undergo tracheal resection. A computed tomography scan of her neck showed tracheal stenosis 1.3 cm in length located 1.5 cm below the glottis. In the operating room, standard monitoring was applied and the patient was anesthetized with remifentanil, propofol bolus and infusion, and rocuronium. The patient’s lungs were ventilated with 100% oxygen with bag and mask for two minutes. Serial rigid bronchoscopies were performed up to 8.0 mm, and a size 6.5 mm (internal diameter) armoured tracheal tube was inserted into the trachea under direct laryngoscopy. The surgeons proceeded with a 3-cm cricotracheal resection with thyrotracheal anastomosis. During the resection, the patient’s lungs were ventilated with an armoured tracheal tube attached to the distal trachea just below the second ring. Later, during the anastomosis, the armoured tracheal tube was removed from the distal trachea. A size 11 mm (outer diameter) Montgomery T-tube (LT-511) (E. Benson Hood Laboratories, Inc, Pembroke, MA, USA) was inserted into the trachea to serve as a stent, and thyrotracheal anastomosis was performed. As positive pressure ventilation of the lungs was required until the anastomosis was fully completed, a 15-mm connector was attached to the extratracheal limb of the T-tube to connect the ventilation circuit. In order to seal off the supraglottic leak through the upper limb of the T-tube, the following novel technique was used to pass a Fogarty Catheter into the upper limb of the T-tube: Immediately after incision of the trachea, a suture was attached to the Murphy’s eye of the tracheal tube. The tracheal tube was partially withdrawn during the tracheal resection; then, as the surgeons were ready to insert the T-tube, the tracheal tube was completely withdrawn and the suture to the Murphy’s eye was cut. Next, the proximal end of the suture was tied to the tip of the Fogarty occlusion Catheter (Model 62080814F) (Edwards Lifesciences LLC, Irvine, CA, USA) just distal to the balloon. The distal end of the suture was pulled slowly by the surgeon, and the Fogarty Catheter was advanced through the mouth and glottis and positioned in the upper limb of the T-tube under direct visual guidance (Figure 1). Then, the balloon of the Fogarty Catheter was inflated to provide an occlusive seal. A 15-mm connector was inserted into the extratracheal limb and positive pressure ventilation was commenced. At the end of surgery, inhalational anesthesia was discontinued and muscle relaxation was reversed. The patient awoke and breathed spontaneously. The 15-mm connector was disconnected from the extratracheal limb of the T-tube, and an oxygen mask was placed over both the extratracheal limb of the T-tube and the patient’s face. D. T. Wong, MD (&) Toronto Western Hospital, University of Toronto, Toronto, ON, Canada e-mail: david.wong@uhn.on.ca
Dimitrios Mikroulis - One of the best experts on this subject based on the ideXlab platform.
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Endobrochial blockade through a tracheostomy tube for lung isolation.
Anesthesia and analgesia, 2008Co-Authors: George Vretzakis, Elena Theodorou, Dimitrios MikroulisAbstract:We present an alternative technique for one-lung ventilation as safe way of treating patients with tracheostomy using a fiberoptic bronchoscope and a Fogarty Catheter.
Denis L Bourke - One of the best experts on this subject based on the ideXlab platform.
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treatment of a bronchopleural fistula with a Fogarty Catheter and oxidized regenerated cellulose surgicel
Chest, 1994Co-Authors: Juraj Sprung, Padmini Thomas, Mark J. Krasna, Denis L BourkeAbstract:A patient with bronchopleural fistula was successfully treated by occluding the fistula with an inflated Fogarty Catheter balloon packed with oxidized regenerated cellulose (Surgicel) using a fiberoptic bronchoscope. After 48 h, the balloon was deflated, the fistula had sealed, and the patient did well. This simple and relatively noninvasive therapy was effective in this patient who was not a surgical candidate.
Ernest M. Ginalis - One of the best experts on this subject based on the ideXlab platform.
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Use of a Fogarty Catheter to open an incompletely expanded Vena Tech-LGM vena cava filter--a case report.
Angiology, 2001Co-Authors: Dimitrios Danikas, George Constantinopoulos, Constantinos Stratoulias, Ernest M. GinalisAbstract:A Vena Tech-LGM 30D/U filter (B. Braun/Vena Tech; Evanston, IL) opened incompletely after transjugular placement in the infrarenal vena cava. The cephalic points of the stabilizing side rails were open and had engaged the caval wall. The base of the filter failed to open. The filter would not successfully inhibit the clots and could possibly migrate. The filter base was not placed in a clot as shown with intraoperative venography before and after the placement. The balloon of a 6F Fogarty Catheter was used successfully to dilate the distal legs of the filter, and fully expand the base.
Keun Man Shin - One of the best experts on this subject based on the ideXlab platform.
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One-Lung Ventilation Using a Fogarty Catheter in a Patient with Tracheostomy after Pharyngectomy and Laryngectomy: A case report
Korean Journal of Anesthesiology, 2005Co-Authors: Eunmi Choi, Kyung Seon Bang, Il Suk Kim, Seung Won Jung, Young Jun Yoon, Keun Man ShinAbstract:One lung ventilation with a double-lumen endotracheal tube or Univent tube may be achieved difficultly or dangerously in some patient such as young age, anatomic anomaly, low body weight and tracheostomy patient. Bronchial blocker with a Fogarty Catheter has been used successfully for such situations. Here, we reported the clinical experience in using a Fogarty embolectomy Catheter as a bronchial blocker in patient with tracheostomy after pharyngectomy and laryngectomy. The patient was received left upper lobectomy with thoracotomy due to metastatic lung cancer.