Canadian journal of anaesthesia = Journal canadien d'anesthésie
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Randomized Controlled Trial
Modified right-sided Broncho-Cath double lumen tube improves endobronchial positioning: a randomized study.
A left-sided double lumen tube is recommended for one-lung ventilation for most thoracic surgeries, but for certain indications, a right-sided double lumen tube (R-DLT) may be mandatory. Frequent malposition of R-DLTs has been reported. We propose an innovative modification of Mallinckrodt's Broncho-Cath R-DLT consisting of an enlarged area of the lateral orifice, and studied the impact of this modification on the adequacy of R-DLT positioning. ⋯ These data suggest the superiority of the modified Broncho-Cath R-DLT compared to a standard Broncho-Cath R-DLT for optimal R-DLT positioning to facilitate one-lung ventilation during thoracic surgery.
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To describe an atypical presentation of intraoperative anaphylaxis due to fentanyl. ⋯ Anaphylaxis is a fulminant, unexpected, IgE-mediated allergic reaction which can be triggered by multiple agents. Common causative agents include neuromuscular blocking drugs, latex, antibiotics, colloids, hypnotics, and opioids. Fentanyl, however, is an extremely unusual cause of anaphylaxis. Pulmonary edema, although uncommon in anaphylaxis, can be a prominent feature, as was the case with this patient.
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Comment Case Reports
Another complication associated with videolaryngoscopy.