The diagnostic challenge of a tracheal tear with a double-lumen endobronchial tube: massive air leak developing from the mouth during mechanical ventilation - 11/08/11
: Assistant ProfessorAbstract |
The case of a 78 year-old woman who underwent a right lower lobectomy using a 35-French, left-sided, double-lumen endobronchial tube (DLET) is presented. Multiple adjustments were needed for the DLET's proper placement. At the end of surgery, sudden loss of tidal volume with a large air leak from the patient's mouth was noted. Fiberoptic bronchoscopic examination through the DLET was negative. Rupture of the tracheal cuff was suspected, and the DLET was replaced with a single-lumen tube. In the intensive care unit, the massive air leak from the mouth recurred during mechanical ventilation. Nasal fiberoptic bronchoscopic examination showed a longitudinal laceration of the membranous portion of the trachea extending from the subglottic area to the orifice of the right bronchus. Surgical repair of the tear was performed.
Le texte complet de cet article est disponible en PDF.Keywords : Double-lumen endobronchial intubation, Fiberoptic bronchoscopy, Tracheal tear
Plan
| ☆ | Financial support was received solely form the institutional and departmental sources. |
| ☆☆ | The authors have no conflicts of interest to report. |
| ★ | Disclaimers: None. |
Vol 23 - N° 1
P. 66-70 - février 2011 Retour au numéro
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