Anesth Pain Med.  2011 Jan;6(1):63-66.

Delayed hypoxemia due to endobronchial intubation as a result of positioning the patient under general anesthesia: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
  • 2Department of Anesthesiology and Pain Medicine, Eulji University School of Medicine, Daejeon, Korea. lov126@nate.com

Abstract

Undetected endobronchial intubation during general anesthesia can cause serious complications. However, it is very difficult to determine the exact location of the endotracheal tube when it is positioned in the middle of the trachea. We experienced a patient who showed hypoxia caused by the positioning of the endobronchial tube. We think that the tube might have been advanced from the upper part of the carina into the right main bronchus while the neck was being flexed by the neurosurgeon for achieving better surgical exposure.

Keyword

Endobronchial intubation; Hypoxemia; Neck flexion; Surgical position

MeSH Terms

Anesthesia, General
Anoxia
Bronchi
Humans
Intubation
Neck
Trachea
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