{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:03:14Z","timestamp":1787169794434,"version":"build-2736575974"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Lung isolation is an essential anesthetic technique utilized in thoracic surgeries. We present a patient undergoing esophagectomy that developed an iatrogenic injury to the left mainstem bronchus that damaged the bronchial cuff of a left-sided double-lumen endotracheal tube (DLETT). A bronchial blocker (BB) was placed in the tracheal lumen of the DLETT as a rescue method to facilitate continued lung isolation. This unusual combination of a DLETT and a BB proved useful once the bronchial cuff was compromised and may serve as a viable solution to maintain lung isolation in similar circumstances.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aca.aca_236_20","type":"journal-article","created":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T08:24:24Z","timestamp":1649665464000},"page":"214-216","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Bronchial Blocker and Double-Lumen Endotracheal Tube Combination to Facilitate Lung Isolation during Esophagectomy"],"prefix":"10.4103","volume":"25","author":[{"given":"Hong","family":"Liang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathew","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Ross","family":"Renew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-19-20240901","first-page":"1","article-title":"Esophagectomy perianesthetic care from a surgeons point of view","volume":"1","author":"Herbella","year":"2014","journal-title":"SOJ Anesthesiol Pain Manag"},{"key":"R2-19-20240901","doi-asserted-by":"crossref","first-page":"1097","DOI":"10.1213\/ane.0b013e3181999339","article-title":"Choosing a lung isolation device for thoracic surgery: A randomized trial of three bronchial blockers versus double-lumen tubes","volume":"108","author":"Narayanaswamy","year":"2009","journal-title":"Anesth Analg"},{"key":"R3-19-20240901","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1097\/00000542-198711000-00018","article-title":"Margin of safety in positioning modern double-lumen endotracheal tubes","volume":"67","author":"Benumof","year":"1987","journal-title":"Anesthesiology"},{"key":"R4-19-20240901","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1053\/jcan.2002.31091","article-title":"Pro: Right-sided double-lumen endotracheal tubes should be routinely used in thoracic surgery","volume":"16","author":"Campos","year":"2002","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"R5-19-20240901","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1097\/00000542-200609000-00009","article-title":"Airway injuries after one-lung ventilation: A comparison between double-lumen tube and endobronchial blocker: A randomized, prospective, controlled trial","volume":"105","author":"Knoll","year":"2006","journal-title":"Anesthesiology"},{"key":"R6-19-20240901","first-page":"250","article-title":"Bronchial blocker compared to double-lumen tube for one-lung ventilation during thoracoscopy","volume":"45","author":"Bauer","year":"2001","journal-title":"Acta Anaesthesiol Scand"},{"key":"R7-19-20240901","first-page":"37","article-title":"Failure of lung isolation by a double-lumen endotracheal tube rescued by the concomitant use of an arndt bronchial blocker under direct visualization","volume":"1","author":"Beam","year":"2013","journal-title":"A Case Rep"},{"key":"R8-19-20240901","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1213\/00000539-199812000-00004","article-title":"Practical use of a bronchial blocker in combination with a double-lumen endotracheal tube","volume":"87","author":"Capdeville","year":"1998","journal-title":"Anesth Analg"},{"key":"R9-19-20240901","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1016\/j.jclinane.2015.03.033","article-title":"Combination of a double-lumen tracheal tube and bronchial blocker for a patient with continuous bleeding due to invasive lung infection","volume":"27","author":"Matsunami","year":"2015","journal-title":"J Clin Anesth"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_236_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:13:22Z","timestamp":1787166802000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_236_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_236_20","relation":{},"ISSN":["0971-9784"],"issn-type":[{"value":"0971-9784","type":"print"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}