Addressing Refractory Hypoxemia in One-Lung Ventilation Using CPAP via a Bronchial Blocker for Non-Operated Lobes on the Surgical Side Alongside a Double Lumen Tube: A Case Study - Takeaways - MDSpire

Addressing Refractory Hypoxemia in One-Lung Ventilation Using CPAP via a Bronchial Blocker for Non-Operated Lobes on the Surgical Side Alongside a Double Lumen Tube: A Case Study

  • By

  • Pierre Conne

  • Jon Andri Lutz

  • Corinne Grandjean

  • Rachelle Maarbess

  • Monique Al Chammas

  • January 29, 2026

  • 0 min

Share

  • 1

    One-lung ventilation (OLV) is challenging in patients with prior contralateral lobectomy, often leading to severe hypoxemia during surgery.

  • 2

    A 44-year-old woman with a history of lobectomies developed refractory hypoxemia during OLV despite maximal ventilatory adjustments.

  • 3

    A bronchial blocker was used in conjunction with a double-lumen tube to selectively deliver CPAP to non-operated lobes, improving oxygenation.

  • 4

    The combined use of a double-lumen tube and bronchial blocker effectively restored oxygenation without compromising surgical exposure.

  • 5

    This case highlights a potential rescue strategy for refractory hypoxemia in complex thoracic surgeries involving prior resections.

Original Source(s)

Addressing Refractory Hypoxemia in One-Lung Ventilation Using CPAP via a Bronchial Blocker for Non-Operated Lobes on the Surgical Side Alongside a Double Lumen Tube: A Case Study

  • by Pierre Conne, Jon Andri Lutz, Corinne Grandjean, Rachelle Maarbess, Monique Al Chammas

  • January 29, 2026

Related Content

H-1B Sponsorship of Surgeons Rises

Analysis suggests visa-sponsored surgeons are more concentrated in rural and high-poverty counties

OR Air Setbacks May Not Affect Outcomes

Findings suggest lower ventilation during idle periods may reduce energy use without worsening outcomes.

Syphilis Linked to Adverse Cardiovascular Outcomes

Matched cohort study shows higher risks across vascular events and mortality