Tracheal laceration during intubation of a double-lumen tube and intraoperative fiberoptic bronchoscopic evaluation through an LMA in the lateral position -A case report

• Published in: Korean journal of anesthesiology Vol. 60; no. 4; pp. 285 - 289
• Main Authors: Kim, Joohee, Lim, Taewan, Bahk, Jae-Hyon
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Society of Anesthesiologists 01-04-2011; Korean Society of Anesthesiologists; 대한마취통증의학회
• Subjects: Case Report; fiberoptic bronchoscope; intubation; laceration; lma; trachea; 마취과학; LMA; Laceration; Fiberoptic bronchoscope; Intubation; Trachea
• ISSN: 2005-6419; 2005-7563
• DOI: 10.4097/kjae.2011.60.4.285

A 76-year-old, 148-cm woman was scheduled for right upper lobectomy. A 32 Fr left-sided double lumen tube was placed using a conventional technique. Despite several attempts under fiberoptic bronchoscope-guidance, we could not locate the double lumen tube properly. We thus decided to proceed with the bronchial tube in the right mainstem bronchus. During surgery, 8-cm-long laceration was noted on the posterolateral side of the trachea. To check the possibility of laceration of the proximal trachea, the double lumen tube was changed to an LMA for use as a conduit for fiberoptic bronchoscopic evaluation in the lateral position. A plain endotracheal tube with the cuff modified and collapsed was re-intubated after evaluation. And then she was transferred to SICU.