Partial Obstruction of an Armored Endotracheal Tube during a Carotid Endarterectomy due to Tracheal Deviation in a Pnemonectomized Patient.
10.4097/kjae.2001.41.1.105
- Author:
Sun Joon BAI
1
;
Ki Jun KIM
;
Jong Hoon KIM
;
Kun Ho KIM
;
Wyun Kon PARK
Author Information
1. Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Complications: airway;
endotracheal tube obstruction;
Equipment: tubes, endotracheal
- MeSH:
Airway Obstruction;
Anesthesia;
Bronchial Spasm;
Bronchoscopy;
Endarterectomy, Carotid*;
Humans;
Intubation;
Lung;
Lung Neoplasms;
Pneumonectomy;
Spasm;
Thorax;
Trachea
- From:Korean Journal of Anesthesiology
2001;41(1):105-109
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endotracheal tube obstruction during anesthesia can have many causes. Hyperinflation of the remaining lung after a pneumonectomy can severely displace the trachea, and attachment of an endotracheal tube tip to the wall of a deviated trachea may also cause severe airway obstruction. The right lung of the patient was removed 3 years ago due to lung cancer. Compensatory hyperinflation of the left lung and severe right-sided tracheal deviation was seen on a chest X-ray. An armored endotracheal tube without Murphy's eye was used. Two hours after beginning the operation, peak airway pressure and PETCO2 began to increase gradually. A wheezing-like sound was heard. Bronchospasm was suspected, but signs of a spasm were not relieved by medications. The signs completely disappeared after pulling the tube 2 cm proximal. The position of the tube should be confirmed by fiberoptic bronchoscopy or chest X-ray after intubation when the trachea is deviated.
