[A case of secondary misplacement of the selective bronchial tube in thoraco-pulmonary surgery].
The authors, after a short synthesis of the causes of secondary misplacement of the selective bronchial tube in thoracic surgery, describe a clinical case. A patient, after the induction of anaesthesia and selective intubation with Carlens tube, undergoes a surgical procedure of right upper lobectomy. During this procedure, a very serious O2 desaturation stands out and only at the end of the procedure, after X-ray examination, it is possible to understand. The cause of the O2 desaturation is a secondary movement of the bronchial tube. The authors come to the conclusion that to diagnose the secondary misplacement of the bronchial tube during the surgical procedure it should be useful perioperative fiberoptic bronchoscopy.
Cardaci
S B
SB
Servizio di Anestesia, Rianimazione, Ospedale S. Luigi Gonzaga, Orbassano Torino.
Forlani
G
G
Croce
M
M
D000368:Aged; D020680:Bronchoscopes; D001999:Bronchoscopy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000009:adverse effects* / Q000295:instrumentation; D013903:Thoracic Surgery