Unexpected difficulty in ventilating the lungs after tracheal intubation: A case report.
10.4097/kjae.2011.60.6.437
- Author:
Jong Yeon LEE
1
;
Su Yeon LEE
;
Inho SHIN
;
Kum Hee CHUNG
;
Duk Hee CHUN
Author Information
1. Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, Korea. leah1013@chamc.co.kr
- Publication Type:Case Report
- Keywords:
Airway obstruction;
Bronchoscopy;
Double lumen tube;
Tracheal abutment
- MeSH:
Airway Obstruction;
Bronchoscopy;
Humans;
Hypogonadism;
Intubation;
Lung;
Mitochondrial Diseases;
Ophthalmoplegia;
Tidal Volume
- From:Korean Journal of Anesthesiology
2011;60(6):437-439
- CountryRepublic of Korea
- Language:English
-
Abstract:
We experienced difficulty in ventilating the lungs of a patient after tracheal intubation. After intubation, an insufficient amount of tidal volume (VT) was delivered to the patient and the fiberoptic bronchoscopic examination identified partial abutment of the endotracheal tube (ETT) orifice against the tracheal wall. After various attempts to correctly place the ETT, a double-lumen endotracheal tube was placed to achieve a sufficient VT. It is important to notice that even an appropriately placed ETT may get obstructed due to the left sided bevel at its tip.