Placement of a double lumen tube in a patient with difficult intubation due to ankylosing spondylitis--a case report.
نویسندگان
چکیده
During insertion of the double lumen tube in patients with ankylosing spondylitis, cervical neutral position should be maintained to avoid vertebral and spinal injuries. Although flexible fiberoptic bronchoscopic intubation is the gold standard, available FOB size is not compatible with that of the endobronchial lumen of the double lumen tube. This problem should be solved according to institutional capabilities. In this report we present a case of insertion of double lumen tube in neutral position using flexible fiberoptic bronchoscope and airway exchanger catheter in a thoracotomy patient with extremely limited neck mobility due to ankylosing spondylitis.
منابع مشابه
Usefulness of the WuScope to facilitate double-lumen endotracheal tube placement in a patient with ankylosing spondylitis.
Functional separation of the lungs may be accomplished by several methods. Patients with a stiff neck and limited mouth opening restrict options to a one-lung ventilation. We report the use of the WuScope video system, a new tool for facilitating double-lumen endotracheal tube placement for one-lung ventilation, in a patient who suffered from ankylosing spondylitis with a stiff, flexed neck and...
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ورودعنوان ژورنال:
- Middle East journal of anaesthesiology
دوره 21 1 شماره
صفحات -
تاریخ انتشار 2011