• Masui · Sep 1994

    Case Reports

    [Tracheal rupture in a patient intubated with a double-lumen endobronchial tube].

    • T Horie, K Higa, Y Ken-Mizaki, B Noda, and K Dan.
    • Department of Anesthesiology, School of Medicine, Fukuoka University.
    • Masui. 1994 Sep 1;43(9):1366-9.

    AbstractWe report a case of tracheal rupture associated with use of a double-lumen endobronchial tube. The patient was a 58-year-old woman with metastatic carcinoma of the right upper lung lobe. Her trachea was intubated easily with a left-sided double-lumen endobronchial tube (Broncho-Cath, #35Fr). She underwent right upper lobectomy under general anesthesia using isoflurane (0.4-1.0%) and nitrous oxide (50%) in oxygen. When the lungs were inflated before closure of the chest, an air leak at the membranous part of the trachea was detected. A tracheal rupture, beginning 3 cm above the carina and 7 cm long, was noted at the membranous part of the trachea, and the cuff protruded partially from the ruptured trachea. The trachea was sutured, and a tracheostomy was carried out. Mechanisms of tracheal rupture related to double-lumen endobronchial tubes are discussed.

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