Korean J Anesthesiol.
2004 Jul;47(1):115-117. 10.4097/kjae.2004.47.1.115.
Displacement of a Double - Lumen Endobronchial Tube from Left to Right Bronchus during Surgical Dissection: A case report
- Affiliations
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- 1Department of Anesthesiology and Pain medicine, Samsung Seoul Hospital, Sungkyunkwan Universiy School of Medicine, Seoul, Korea. jakim@smc.samsung.co.kr
- KMID: 2237569
- DOI: http://doi.org/10.4097/kjae.2004.47.1.115
Abstract
- Correct positioning of a double-lumen endobronchial tube (DLT) is essential for adequate ventilation, oxygenation, and lung separation during one-lung anesthesia. The displacement of a DLT by surgical manipulation, coughing, movements, or patient position changes have been reported. We experienced displacement of a left-sided DLT into the right bronchus during hilar dissection for carina sleeve right upper lobectomy in a 60-yr-old male patient. We emphasize the possibility of DLT dislocation during hilar dissection, so careful attention must be carried.
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