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Anesthetic experience of an adult patient with an unrecognized tracheal bronchus -A case report-.

Authors
 Yong Seon Choi  ;  Young Lan Kwak  ;  Hong Gyu Choi  ;  Se Young Oh  ;  Jong Wha Lee 
Citation
 KOREAN JOURNAL OF ANESTHESIOLOGY, Vol.59(suppl) : 13-16, 2010 
Journal Title
 KOREAN JOURNAL OF ANESTHESIOLOGY 
ISSN
 2005-6419 
Issue Date
2010
Keywords
Endotracheal intubation ; Tracheal bronchus
Abstract
We present a case of problematic tracheal intubation in an adult patient with an unrecognized tracheal bronchus. Immediately after tracheal intubation and position change to prone, bilateral breath sounds were almost absent, and there was a diminished tidal volume. In order to resolve the ventilatory difficulty, the wire-reinforced tube was replaced with a conventional tube, and proper positioning of the tube was completed under fiberoptic guidance. A tracheal bronchus (originating about 1.2 cm above the carina, and supplying the right upper lobe) was found on the postoperative chest CT. In the presence of tracheal bronchus, tracheal intubation may cause pulmonary complications. Anesthesiologists should keep in mind the anesthetic implications of tracheal bronchus, and must be familiar with the use of fiberoptic bronchoscopy for proper positioning of endotracheal tube.
Files in This Item:
T201005041.pdf Download
DOI
10.4097/kjae.2010.59.S.S13
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kwak, Young Lan(곽영란) ORCID logo https://orcid.org/0000-0002-2984-9927
Lee, Jong Wha(이종화)
Choi, Yong Seon(최용선) ORCID logo https://orcid.org/0000-0002-5348-864X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/102941
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