[Difficulty in one-lung ventilation reveals tracheobronchial anomaly].
A 57-year-old man with carcinoma of the esophagus was scheduled for a subtotal esophagectomy. We used a bronchial blocker tube to perform one-lung ventilation (OLV). But the OLV was not feasible because of a tracheobronchial anomaly of the right superior lobe bronchus. We replaced the bronchial blocker tube with a standard double lumen tube, and the OLV thus became complete. When we cannot perform a complete OLV with a bronchial blocker tube, we should consider the possibility of a tracheobronchial anomaly. When one is found in the right superior lobe bronchus, we should use a standard double lumen tube to perform the OLV.
Tsuda
Kazunobu
K
Department of Anesthesiology and Intensive Care Medicine, Graduate School of Medical Science, Kanazawa University, Kanazawa 920-8641.
Kinoshita
Rieko
R
Yamada
Keisuke
K
Tsubokawa
Tsunehisa
T
Yamamoto
Ken
K
D000758:Anesthesia; D001980:Bronchi / Q000002:abnormalities*; D004938:Esophageal Neoplasms / Q000601:surgery; D006801:Humans; D007442:Intubation, Intratracheal / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012121:Respiration, Artificial / Q000379:methods*; D014132:Trachea / Q000002:abnormalities*