title: [A case of difficult intubation with tracheobronchial anomaly].
abstract: We experienced a case of difficult intubation with tracheobronchial anomaly. A 66-year-old male was scheduled for subtotal esophagectomy. We used a univent bronchial blocker tube (UBT) to separate the lungs because of difficulty with tracheal intubation using a 37 F double lumen tube (DLT). Intraoperatively, we could not separate the lungs due to tracheobronchial anomaly in the right lung, and attempted to change the tube. We could insert a 35 F DLT to the trachea and separate the lungs. In the case of difficult or impossible conventional direct-vision intubation, the use of DLT is a relative contraindication. However, in this case, the separation of the lungs with UBT was difficult because of tracheobronchial anomaly.
authors.affiliation: Department of Anesthesia, Sapporo Tokushukai Hospital.
authors.forename: A
authors.initials: A
authors.lastname: Okuyama
authors.forename: R
authors.initials: R
authors.lastname: Nagasawa
authors.forename: N
authors.initials: N
authors.lastname: Ideuchi
mesh_terms: D000368:Aged; D001980:Bronchi / Q000002:abnormalities*; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods; D008297:Male; D014132:Trachea / Q000002:abnormalities*