The Experts below are selected from a list of 150 Experts worldwide ranked by ideXlab platform

Javier H Campos - One of the best experts on this subject based on the ideXlab platform.

  • Fiberoptic Bronchoscopy for Positioning Double-Lumen Tubes and Bronchial Blockers
    Principles and Practice of Anesthesia for Thoracic Surgery, 2019
    Co-Authors: Javier H Campos
    Abstract:

    Flexible fiberoptic bronchoscopy is a diagnostic and therapeutic procedure of great value in the clinical practice of Thoracic Anesthesia. [1] The most common method to perform flexible fiberoptic bronchoscopy is with the use of a single-lumen endotracheal tube. Once the tube is advanced beyond the vocal cords and inside the trachea, the tip of the endotracheal tube should come to rest 3-4 cm above the tracheal carina. A Portex fiberoptic bronchoscope (SSL American, Inc. Norcross, Georgia USA) swivel adapter with a self-sealing valve is used to facilitate ventilation and manipulation of the bronchoscope at the same time. When using a large single-lumen endotracheal tube, an adult fiberoptic bronchoscope should be used (i.e. 4.1 mm inner diameter). Another alternative to perform fiberoptic bronchoscopy is with the use of a laryngeal mask airway (LMA). This technique allows visualization of the vocal cords and subglottic structures with lower resistance than a single-lumen endotracheal tube when the bronchoscope is inserted.

  • Use of bronchial blockers: a retrospective review of 302 cases
    Journal of Anesthesia, 2012
    Co-Authors: Kenichi Ueda, Chris Goetzinger, Elizabeth H. Gauger, Ezra A. Hallam, Javier H Campos
    Abstract:

    The purpose of this retrospective review is to evaluate the safety and efficacy of the bronchial blockers (BBs) used in Thoracic Anesthesia. We enrolled 302 patients who had a BB placed to achieve one-lung ventilation (OLV). Variables recorded from the anesthetic record included type of device used, type and side of surgery, specific indications for OLV, Mallampati score, route of intubation, and complications related to the use of BBs. The BBs used include the Arndt Wire-guided, Univent, Cohen Flexi-tip, Fogarty catheter, and Fuji. The majority of BBs placed were Arndt ( n  = 156) or Univent ( n  = 131). BBs were used significantly more often in thoracoscopic procedures than in thoracotomies ( P  

  • Use of bronchial blockers: a retrospective review of 302 cases
    Journal of Anesthesia, 2011
    Co-Authors: Kenichi Ueda, Chris Goetzinger, Elizabeth H. Gauger, Ezra A. Hallam, Javier H Campos
    Abstract:

    The purpose of this retrospective review is to evaluate the safety and efficacy of the bronchial blockers (BBs) used in Thoracic Anesthesia. We enrolled 302 patients who had a BB placed to achieve one-lung ventilation (OLV). Variables recorded from the anesthetic record included type of device used, type and side of surgery, specific indications for OLV, Mallampati score, route of intubation, and complications related to the use of BBs. The BBs used include the Arndt Wire-guided, Univent, Cohen Flexi-tip, Fogarty catheter, and Fuji. The majority of BBs placed were Arndt (n = 156) or Univent (n = 131). BBs were used significantly more often in thoracoscopic procedures than in thoracotomies (P < 0.01). Of the 251 patients, 216 (86%) had a Mallampati score of I/II and 35 (14%) had a score of III/IV. There were no identified complications related to BBs. In summary, BBs can be safely used to achieve OLV and offer advantages for OLV in specific situations.

  • update on tracheobronchial anatomy and flexible fiberoptic bronchoscopy in Thoracic Anesthesia
    Current Opinion in Anesthesiology, 2009
    Co-Authors: Javier H Campos
    Abstract:

    Purpose of reviewThis review is focused on tracheobronchial anatomy and the use of flexible fiberoptic bronchoscopy in Thoracic Anesthesia.Recent findingsA complete knowledge of tracheobronchial anatomy is a key factor in determining proper position of lung isolation devices, namely double-lumen end

  • fast track in Thoracic Anesthesia and surgery
    Current Opinion in Anesthesiology, 2009
    Co-Authors: Javier H Campos
    Abstract:

    Purpose of reviewTo provide an update on fast track Thoracic Anesthesia for patients undergoing lung resection.Recent findingsThere are very few studies supporting the concept of fast-track approach in Thoracic surgery. The concept of fast track can be applied if patients can be identified in the pr

Gregory B Hammer - One of the best experts on this subject based on the ideXlab platform.

  • pediatric Thoracic Anesthesia
    Current Opinion in Anesthesiology, 2005
    Co-Authors: Brenda Golianu, Gregory B Hammer
    Abstract:

    Purpose of reviewSurgical interventions, including video-assisted thoracoscopic surgeries, are increasingly being performed in the neonatal and pediatric populations. Thoracic Anesthesia in infants and children poses special challenges for the anesthesiologist. These include assessment of the patien

  • pediatric Thoracic Anesthesia
    Anesthesiology Clinics of North America, 2002
    Co-Authors: Gregory B Hammer
    Abstract:

    The anesthesiologist caring for infants and children undergoing Thoracic surgery faces many challenges. An understanding of the primary underlying lesion as well as associated anomalies that may impact perioperative management is paramount. A working knowledge of respiratory physiology and anatomy in infants and children is required for the planning and execution of appropriate intraoperative care. Familiarity with a variety of techniques for SLV suited to the patient's size will allow maximal surgical exposure while minimizing trauma to the lungs and airways. Finally, use of regional anesthetic techniques, including epidural Anesthesia and analgesia, facilitates optimal postoperative pain control and pulmonary function.

Frazier W. Frantz - One of the best experts on this subject based on the ideXlab platform.

  • Extraluminal use of the Arndt pediatric endobron-chial blocker in an infant: a case report
    Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 2006
    Co-Authors: John L. Bastien, Joseph G. O’brien, Frazier W. Frantz
    Abstract:

    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.

  • Extraluminal use of the Arndt pediatric endobron-chial blocker in an infant: a case report
    Canadian Journal of Anesthesia, 2006
    Co-Authors: John L. Bastien, Joseph G. O’brien, Frazier W. Frantz
    Abstract:

    Objectif Parvenir à isoler un poumon chez un enfant qui subit une anesthésie thoracique peut être difficile. Nous décrivons une nouvelle façon de réaliser ľisolement chez un enfant qui subit une thoracotomie pour lobectomie en utilisant un bloqueur endobron-chique pédiatrique Arndt selon une technique extracavitaire. Éléments cliniques Ľisolement du poumon chez un enfant a été fait par ľusage ďun bloqueur endobronchique pédiatrique Arndt placé à ľextérieur ďun tube endotrachéal. La mise en place du bloqueur a été facilitée par un fibroscope bronchique pédiatrique placé au moyen du guide métallique du bloqueur bronchique extra-cavitaire. Conclusion Cette nouvelle technique peut être une méthode plus facile et plus fiable de ventilation unipulmonaire chez les enfants et les bébés. 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 pediatric endobronchial blocker placed externally to an endotracheal tube. The blocker’s placement was facilitated through the use of a pediatric fibreoptic brochoscope placed through the guidewire of the extraluminally placed bronchial blocker. Conclusion This novel technique may provide an easier and more reliable method of attaining single lung ventilation in infants and small children.

John L. Bastien - One of the best experts on this subject based on the ideXlab platform.

  • Extraluminal use of the Arndt pediatric endobron-chial blocker in an infant: a case report
    Canadian Journal of Anaesthesia-journal Canadien D Anesthesie, 2006
    Co-Authors: John L. Bastien, Joseph G. O’brien, Frazier W. Frantz
    Abstract:

    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.

  • Extraluminal use of the Arndt pediatric endobron-chial blocker in an infant: a case report
    Canadian Journal of Anesthesia, 2006
    Co-Authors: John L. Bastien, Joseph G. O’brien, Frazier W. Frantz
    Abstract:

    Objectif Parvenir à isoler un poumon chez un enfant qui subit une anesthésie thoracique peut être difficile. Nous décrivons une nouvelle façon de réaliser ľisolement chez un enfant qui subit une thoracotomie pour lobectomie en utilisant un bloqueur endobron-chique pédiatrique Arndt selon une technique extracavitaire. Éléments cliniques Ľisolement du poumon chez un enfant a été fait par ľusage ďun bloqueur endobronchique pédiatrique Arndt placé à ľextérieur ďun tube endotrachéal. La mise en place du bloqueur a été facilitée par un fibroscope bronchique pédiatrique placé au moyen du guide métallique du bloqueur bronchique extra-cavitaire. Conclusion Cette nouvelle technique peut être une méthode plus facile et plus fiable de ventilation unipulmonaire chez les enfants et les bébés. 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 pediatric endobronchial blocker placed externally to an endotracheal tube. The blocker’s placement was facilitated through the use of a pediatric fibreoptic brochoscope placed through the guidewire of the extraluminally placed bronchial blocker. Conclusion This novel technique may provide an easier and more reliable method of attaining single lung ventilation in infants and small children.

Brenda Golianu - One of the best experts on this subject based on the ideXlab platform.

  • pediatric Thoracic Anesthesia
    Current Opinion in Anesthesiology, 2005
    Co-Authors: Brenda Golianu, Gregory B Hammer
    Abstract:

    Purpose of reviewSurgical interventions, including video-assisted thoracoscopic surgeries, are increasingly being performed in the neonatal and pediatric populations. Thoracic Anesthesia in infants and children poses special challenges for the anesthesiologist. These include assessment of the patien