A Practical Guide for Using the EZ-Blocker Endobronchial Blocker : Tips and Tricks After 10 Years of Experience
Copyright © 2023 Elsevier Inc. All rights reserved..
The EZ-Blocker (EZB) is a "Y-shaped," semirigid endobronchial blocker used for lung isolation and one-lung ventilation during thoracic surgery. Like many medical tools, initial efforts to use this endobronchial blocker may prove challenging for the uninitiated. However, some tips and tricks can be applied fairly rapidly to aid the clinician in properly placing the device, and, furthermore, may help the clinician get the most out of this innovative device. This article focuses on some of the technical aspects of its placement that the authors have developed over time. Additionally, other facets and potential pitfalls are discussed that relate to intraprocedural issues that may sometimes arise when using this device. The following aspects of the EZB as a lung-isolation device are discussed: standard positioning techniques, alternative positioning techniques, use in pediatric patients, approaches to achieving exceptional lung isolation, advanced uses, and limitations and potential issues. Although some information was taken from the authors' rather extensive experience with using this endobronchial blocker, some of the relevant literature are also reviewed, with the goal of being to improve the reader's knowledge of the device and improve the likelihood of its successful placement. The underlying design of the EZB remains unique among commercially available bronchial blockers in improving positional stability. The Y-shaped conformation, however, can lead to challenges when positioning the device in some patients. Therefore, some very practical tips and tricks are provided to assist the clinician in correctly positioning the device and other hints to improve the quality of lung isolation and surgical conditions.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:37 |
|---|---|
| Enthalten in: |
Journal of cardiothoracic and vascular anesthesia - 37(2023), 10 vom: 20. Okt., Seite 1884-1893 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Rispoli, Marco [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Airway |
|---|
| Anmerkungen: |
Date Completed 12.09.2023 Date Revised 13.09.2023 published: Print-Electronic Citation Status MEDLINE |
|---|
| doi: |
10.1053/j.jvca.2023.06.015 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM359816495 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM359816495 | ||
| 003 | DE-627 | ||
| 005 | 20231226081702.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1053/j.jvca.2023.06.015 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1199.xml |
| 035 | |a (DE-627)NLM359816495 | ||
| 035 | |a (NLM)37481398 | ||
| 035 | |a (PII)S1053-0770(23)00383-X | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Rispoli, Marco |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A Practical Guide for Using the EZ-Blocker Endobronchial Blocker |b Tips and Tricks After 10 Years of Experience |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 12.09.2023 | ||
| 500 | |a Date Revised 13.09.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 Elsevier Inc. All rights reserved. | ||
| 520 | |a The EZ-Blocker (EZB) is a "Y-shaped," semirigid endobronchial blocker used for lung isolation and one-lung ventilation during thoracic surgery. Like many medical tools, initial efforts to use this endobronchial blocker may prove challenging for the uninitiated. However, some tips and tricks can be applied fairly rapidly to aid the clinician in properly placing the device, and, furthermore, may help the clinician get the most out of this innovative device. This article focuses on some of the technical aspects of its placement that the authors have developed over time. Additionally, other facets and potential pitfalls are discussed that relate to intraprocedural issues that may sometimes arise when using this device. The following aspects of the EZB as a lung-isolation device are discussed: standard positioning techniques, alternative positioning techniques, use in pediatric patients, approaches to achieving exceptional lung isolation, advanced uses, and limitations and potential issues. Although some information was taken from the authors' rather extensive experience with using this endobronchial blocker, some of the relevant literature are also reviewed, with the goal of being to improve the reader's knowledge of the device and improve the likelihood of its successful placement. The underlying design of the EZB remains unique among commercially available bronchial blockers in improving positional stability. The Y-shaped conformation, however, can lead to challenges when positioning the device in some patients. Therefore, some very practical tips and tricks are provided to assist the clinician in correctly positioning the device and other hints to improve the quality of lung isolation and surgical conditions | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Airway | |
| 650 | 4 | |a Bronchial blocker | |
| 650 | 4 | |a EZ-Blocker | |
| 650 | 4 | |a One lung ventilation | |
| 700 | 1 | |a Nespoli, Moana Rossella |e verfasserin |4 aut | |
| 700 | 1 | |a Ferrara, Maurizio |e verfasserin |4 aut | |
| 700 | 1 | |a Rosboch, Giulio Luca |e verfasserin |4 aut | |
| 700 | 1 | |a Templeton, Leah Bumgarner |e verfasserin |4 aut | |
| 700 | 1 | |a Templeton, Thomas Wesley |e verfasserin |4 aut | |
| 700 | 1 | |a Massullo, Domenico |e verfasserin |4 aut | |
| 700 | 1 | |a Fiorelli, Silvia |e verfasserin |4 aut | |
| 700 | 1 | |a Granell Gil, Manuel |e verfasserin |4 aut | |
| 700 | 1 | |a Coccia, Cecilia |e verfasserin |4 aut | |
| 700 | 1 | |a Piccioni, Federico |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Journal of cardiothoracic and vascular anesthesia |d 1997 |g 37(2023), 10 vom: 20. Okt., Seite 1884-1893 |w (DE-627)NLM01262375X |x 1532-8422 |7 nnns |
| 773 | 1 | 8 | |g volume:37 |g year:2023 |g number:10 |g day:20 |g month:10 |g pages:1884-1893 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1053/j.jvca.2023.06.015 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 37 |j 2023 |e 10 |b 20 |c 10 |h 1884-1893 | ||