Bilateral bronchial intubation through a tracheostomy incision after innominate artery laceration.
A 17-year-old adolescent boy presented for direct laryngoscopy, rigid bronchoscopy, laser ablation of tracheal scar, and possible tracheostomy. The innominate artery was lacerated during tracheostomy. We describe a unique approach toward ventilation in this case in which two separate endotracheal tubes were connected through a Carlens tube adaptor.
Filatoff
Gregory A
GA
Department of Anesthesiology, Medical University of Ohio, Toledo, OH 43614, USA. gregory.filatoff@utoledo.edu
Pitroda
Mukesh V
MV
Marco
Alan P
AP
Papadimos
Thomas J
TJ
D000293:Adolescent; D001778:Blood Coagulation Disorders / Q000209:etiology / Q000628:therapy; D016122:Brachiocephalic Trunk / Q000293:injuries*; D006470:Hemorrhage / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology* / Q000628:therapy; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D008297:Male; D014135:Tracheal Stenosis / Q000209:etiology / Q000601:surgery*; D014139:Tracheostomy / Q000009:adverse effects*