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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care

Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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Minerva Anestesiologica 2018 Jan 17

DOI: 10.23736/S0375-9393.18.12390-X


language: English

Bronchial blocker positioning: learning curve and confidence in its use

Marco RISPOLI 1 , Gianluca ZANI 2, Federico BIZZARRI 3, Moana R. NESPOLI 1, Dario M. MATTIACCI 1, Vanni AGNOLETTI 3, Alfonso FIORELLI 4, Antonio CORCIONE 1, Salvatore BUONO 1

1 Anesthesia and Intensive Care, Vincenzo Monaldi Hospital, Napoli, Italy; 2 Anesthesia and Intensive Care, Santa Maria delle Croci Hospital, Ravenna, Italy; 3 Anesthesia and Intensive Care, Arcispedale S. Maria Nuova Hospital, Reggio Emilia, Italy; 4 Thoracic Surgery Unit, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy


BACKGROUND: Despite simple and safe to use and cheap, EZ Blocker remains underused probably because it requires particular skills in recognizing airway and in using fiber- bronchoscopy to check the exact position of their cuffs. Thus, we planned an education training program on the use of EZB for novices in anaesthesia and evaluated the number of procedures required for the acquisition of the skills of this technique.
METHODS: The educational training program included three different phases as follows. The first phase included a lecture on the utility of one-lung ventilation in thoracic surgery, on the use of the fiber- bronchoscopy and on the characteristics of EZ Blocker. The second phase consisted in a practical teaching course performed on a manikin model to acquire the skills in EZ Blocker. The third phase was a clinical training where each participant performed a defined number in patients scheduled for thoracic surgery procedures. The acquisition of dexterity and satisfaction were then statistically valuated.
RESULTS: The dexterity in placing EZ Blocker significantly increased after six attempts (p<0.1). Participants acquired the skills in correcting position EZ Blocker after 15 attempts. Participants increased their level of confidence with EZ Blocker (score 5.7 ± 1.3) and were highly satisfied with the training that they have received (score 5.8 ± 1.6).
CONCLUSIONS: EZ Blocker is a valid strategy for obtaining One Lung Ventilation. Thus, it should be included in the armamentarium of all anaesthetists interested in the field of thoracic surgery. Our teaching course seems to be a valuable method to instil easily and speedily in training novices in anaesthesia the skills in placing EZ Blocker.

KEY WORDS: One lung ventilation - Bronchial blocker - Residents training

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Publication History

Article first published online: January 17, 2018
Manuscript accepted: January 10, 2018
Manuscript revised: November 9, 2017
Manuscript received: August 24, 2017

Cite this article as

Rispoli M, Zani G, Bizzarri F, Nespoli MR, Mattiacci DM, Agnoletti V, et al. Bronchial blocker positioning: learning curve and confidence in its use. Minerva Anestesiol 2018 Jan 17. DOI: 10.23736/S0375-9393.18.12390-X

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