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Ann Thorac Surg 1977;24:156-161
© 1977 The Society of Thoracic Surgeons

Articles

Prospective Study of the Robertshaw Endobronchial Catheter in Thoracic Surgery

Raymond C. Read, M.D.*, Cheryl D. Friday, M.D., Carol N. Eason, M.D.

Surgical and Anesthesia Services, Veterans Administration Hospital, and the Departments of Anesthesiology and Surgery, University of Arkansas for Medical Sciences, Little Rock, AR

* Address reprint requests to Dr. Read, Chief, Surgical Service, Veterans Administration Hospital, 300 East Roosevelt Rd, Little Rock, AR 72206

One hundred three men undergoing thoracotomy on a general thoracic surgery service received endobronchial anesthesia with 100% oxygen using the Robertshaw tube. Bronchial intubation was accomplished in all. However, cross-leak or difficulty with deflation necessitated discontinuance in 8, while Pao 2 values of 41 and 45 mm Hg caused abandonment in 2. There were no operative deaths. Surprisingly, hypoxemia in these patients related more to insufficient alveolar ventilation than to the venoarterial shunt.




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