Shrock shunt

A Shrock shunt can be fashioned by using a cuffed endotracheal tube or a an intercostal drainage tube. This is especially useful if the retrohepatic IVC is injured. Basically a controlled incision is made via a purse string well below or above the tear and an endotracheal tube with a hole cut distally like an eye or an intercoastal drainage tube with an additional hole made distally is passed through the elective arteriotomy/ venotomy. The vessel is taped above and below the tear (in the case of an endotracheal tube taping can be avoided on the cuffed end). This now effectively isolates the torn area while allowing continued blood flow via the lumen of the tube allowing precise repair/ patching etc.