{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T03:55:47Z","timestamp":1771473347970,"version":"3.50.1"},"reference-count":12,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,1]]},"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>Laryngeal mask combined with bronchial blocker provides an alternative for lung isolation but lacks adequate access to the non-dependent lung. Substituting the blocker with a bronchial tube may overcome this limitation. In this report, a #4.5 cuffed bronchial tube was introduced into the non-dependent lung through a second-generation laryngeal mask for transthoracic oesophagectomy. During the 2.5-hour thoracotomy, one-lung ventilation was achieved by isolating the left lung with the bronchial tube and ventilating the right lung via the laryngeal mask, using volume-control mode (7 mL\/kg \u00d7 12\/min) with P<jats:sub>IP<\/jats:sub>21\u201323 cm H<jats:sub>2<\/jats:sub>O, pH 7.36 and PaCO<jats:sub>2<\/jats:sub> 38.3. Prior to thoracotomy closure, suction and reinflation of the left lung were performed through the bronchial tube. Bronchoscopy via the laryngeal mask revealed no injury to the airway after removal of the bronchial tube. The case shows that laryngeal mask combined with bronchial intubation provides one-lung ventilation with access to the isolated lung.<\/jats:p>","DOI":"10.1136\/bcr-2020-240430","type":"journal-article","created":{"date-parts":[[2021,6,23]],"date-time":"2021-06-23T11:47:04Z","timestamp":1624448824000},"page":"e240430","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Laryngeal mask combined with bronchial tube achieves one-lung ventilation for transthoracic oesophagectomy"],"prefix":"10.1136","volume":"14","author":[{"given":"Fang","family":"Kang","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, The First Affiliated Hospital, University of Science and Technology of China, Hefei, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, The First Affiliated Hospital, University of Science and Technology of China, Hefei, Anhui, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9218-0461","authenticated-orcid":false,"given":"Gary","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Yale University School of Medicine, New Haven, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,6,23]]},"reference":[{"key":"2025082703473080000_14.6.e240430.1","doi-asserted-by":"crossref","first-page":"678","DOI":"10.1053\/j.jvca.2016.05.032","article-title":"Lung isolation for thoracic surgery: from inception to evidence-based","volume":"31","author":"Falzon","year":"2017","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"2025082703473080000_14.6.e240430.2","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1053\/j.jvca.2014.11.017","article-title":"A comparison of the efficacy and adverse effects of 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