• JNMA J Nepal Med Assoc · Oct 2010

    Case Reports

    Curved knife "Khukuri" injury in the back and anaesthesia induction in lateral position for thoracotomy.

    • A Subedi, M Tripathi, L Pathak, B Bhattarai, A Ghimire, and R Koirala.
    • Department of Anaesthesiology and Critical Care, B.P. Koirala Institute of Health Sciences, Dharan, Nepal. asishdr25@hotmail.com
    • JNMA J Nepal Med Assoc. 2010 Oct 1;50(180):303-5.

    AbstractPenetrating injury in the back with knife (Khukri) demands induction of anaesthesia and intubation in lateral position. In thoracic injury a double lumen tube placement is required to facilitate one lung ventilation during thoracotomy. In emerging situation, we could successfully execute induction of patient in right lateral position using right sided DLT for left thoracotomy. Its correct placement was confirmed by fiberoptic bronchoscopy. In conclusion right-DLT intubation can be performed without difficulty by conventional direct laryngoscopy using Macintosh blade in lateral position.

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