Transection of a Coopdech bronchial blocker tip during bronchial resection for right upper lobectomy: a case report.
10.4097/kjae.2015.68.3.287
- Author:
Yong Hun LEE
1
;
Hye Mo YANG
;
Hyun Chang KIM
;
Jae Hyon BAHK
;
Jeong Hwa SEO
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea. eongpa@empas.com
- Publication Type:Case Report
- Keywords:
Airway management;
Bronchi;
One-lung ventilation;
Thoracoscopy
- MeSH:
Airway Management;
Apnea;
Bronchi;
Humans;
Intubation;
Lung;
Male;
One-Lung Ventilation;
Sutures;
Thoracoscopy;
Thoracotomy;
Trachea;
Ventilation
- From:Korean Journal of Anesthesiology
2015;68(3):287-291
- CountryRepublic of Korea
- Language:English
-
Abstract:
A bronchial blocker (BB) is preferred for lung separation in patients with difficult airways. However, BBs, unlike double-lumen tubes, must be placed in the bronchus of the lung being operated on, hence can be damaged by surgical manipulation. Intubation was unexpectedly difficult in this male patient, so a Coopdech BB was placed in the right mainstem bronchus through a single-lumen tracheoscopic ventilation tube for a thoracoscopic right upper lobectomy. During the bronchial resection, however, the distal tip of the BB was transected and pinched in the staple line, so the staple line was partially opened, and the BB was withdrawn into the trachea. The opened bronchial stump was sutured manually under apnea without conversion to an open thoracotomy, and there was no significant air leakage through the suture line. This case underlines the importance of frequently evaluating the position of a BB during lung surgery.
