Forgarty Catheter for Lung Isolation and One-Lung Ventilation in Infants with Multiloculated Empyema with Bronchopleural Fistula Undergoing Exploratory Thoracotomy

An Alternative of Double Lumen Tube

DOI

10.2991/978-94-6463-060-2_9How to use a DOI?

Keywords

Forgarty Catheter; Lung isolation; One lung ventilation; Thoracic surgery; Pediatric; empyema; Bronchopleural fistula

Abstract

Lung isolation and one-lung ventilation are generally facilitated using a Double lumen tube (DLT) to achieve a good operating field, prevent contamination, maintain adequate ventilation and oxygenation. No suitable size of DLT on the current market for the infant and pediatric population remains a problem. In this article, we report a 2.5-month old infant with multiloculated empyema with bronchopleural fistula in the right lung who underwent a thoracotomy for decortication and closure of the fistula. Here, we used the Forgarty Catheter, commonly used in vascular surgery for thrombectomy, as an alternative to DLT. We made this Forgarty Catheter a bronchial blocker to isolate the patient’s right lung, we inserted it into a modified endotracheal tube (ETT) with a Y connector. Intraoperatively, the Forgarty Catheter can properly act as a bronchial blocker to prevent contamination of healthy lungs, to facilitate one-lung ventilation and oxygenation can be provided adequately. Postoperatively, the Forgarty catheter was removed and both of the patient’s lungs were re-expanded. Later, the patient was transferred to the PICU for further observation. In conclusion, Forgarty Catheter can be an alternative to DLT in infants and pediatrics undergoing thoracic surgery.

Copyright

© 2023 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Baginda Aflah
AU  - Iwan Abdul Rachman
AU  - Suwarman Suwarman
PY  - 2022
DA  - 2022/12/16
TI  - Forgarty Catheter for Lung Isolation and One-Lung Ventilation in Infants with Multiloculated Empyema with Bronchopleural Fistula Undergoing Exploratory Thoracotomy
BT  - Proceedings of The 13th Annual Scientific Conference of Medical Faculty, Universitas Jenderal Achmad Yani (ASCMF 2022)
PB  - Atlantis Press
SP  - 50
EP  - 56
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-060-2_9
DO  - 10.2991/978-94-6463-060-2_9
ID  - Aflah2022
ER  -