Rupture of the left main-stem bronchus by the tracheal portion of a double-lumen endobronchial tube.

Sakuragi, T; Kumano, K; Yasumoto, M; Dan, K · Acta Anaesthesiol Scand · 1997

case_report · Level V

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Abstract

We report a rupture of the left main-stem bronchus following the insertion of a left-sided double-lumen endobronchial tube in a 76-yr-old woman with a short trachea. A fiberoptic bronchoscope was not used during the initial insertion of the tube and the depth of insertion resulted in approximately 5 cm in excess of the optimal level for this patient. The rupture had been caused by the tracheal portion of the double-lumen tube. This damage may have been avoided if a fiberoptic bronchoscope was used routinely as an introducer and for positioning of the endobronchial tube under direct vision.

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