Left mainstem bronchial rupture during one-lung ventilation with Robertshaw double lumen endobronchial tube -A case report-
نویسندگان
چکیده
Lung separation using a double-lumen endobronchial tube is necessary for video assisted thoracoscopy (VATs). Bronchial rupture after intubation with a double-lumen endobronchial tube has been rarely reported. We report a case of a 70-year-old man who had solitary pulmonary nodule in his right upper lobe. He was intubated with a left-sided Robertshaw double-lumen endobronchial tube. He underwent a VATs right upper lobectomy with the one-lung ventilation of left lung. During the operation, the rupture of the left mainstem bronchus was detected. Immediately, the thoracotomy was performed and the ruptured left mainstem bronchus was repaired with absorbable sutures (vicryl). Seven days later he had a bronchoscopy to examine the left mainstem bronchus. There was no evidence of the bleeding, leakage and inflammation. Subsequent course was uneventful. Tracheobronchial injuries related to the double-lumen endobronchial tube are discussed.
منابع مشابه
Rocuronium for caesarean section.
Sir,—I read with interest the article entitled "Trachea! rupture after tracheal intubation" by Regragui, Fagan and Natrajan [1]. The authors described the anaesthetic management of a patient with a distal tracheal tear. The trachea was intubated initially with an 8-mm tracheal rube under bronchoscopic guidance with the distal end of the tube above the tracheal tear. After right rhoracotomy was ...
متن کاملAirway injuries after one-lung ventilation: a comparison between double-lumen tube and endobronchial blocker: a randomized, prospective, controlled trial.
BACKGROUND Vocal cord injuries, postoperative hoarseness, and sore throat are common complications after general anesthesia. One-lung ventilation can be achieved via two techniques: double-lumen endotracheal tube or endobronchial blocker such as the Arndt blocker. The current study was designed to assess the impact of these techniques for one-lung ventilation on the incidence and severity of po...
متن کامل[Selective lobar blockade with a Coopdech blocker combined with a double-lumen endotracheal tube for lung metastases resection by laser].
In recent years, laser resection of lung metastases has been established as the standard procedure worldwide. To avoid airway fire, it is necessary to collapse the surgical lung. The selective lobar bronchial blockade is a technique that allows one-lung ventilation while the operated lobe is collapsed in patients with previous pulmonary resection requiring subsequent resection or with limited p...
متن کاملComparison of the resistances of double-lumen endobronchial tubes.
The resistance of commonly-used double-lumen endobronchial tubes were measured and a detailed comparison made. Robertshaw tubes were generally found to have a lower resistance than either the Carlens or the White tubes of equivalent size, but this was not so in every case. The White tubes had a disproportionately high resistance associated with the upper lobe orifice when compared with the resi...
متن کاملIatrogenic rupture of the left main bronchus secondary to repeated surgical lobe torsion during double-lumen tube placement
RATIONALE Bronchial rupture is a rare but potentially life-threatening complication during double-lumen endobronchial tube placement. The rupture of the left main bronchus resulting from repeated surgical torsion is uncommon. PATIENT CONCERNS A 70-year-old man with a history of chronic obstructive pulmonary disease (COPD), intermediate emphysema, chronic bronchitis, hypertension, type 2 diabe...
متن کامل