Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Korea.
Korean J Anesthesiol. 2011 Apr;60(4):285-9. doi: 10.4097/kjae.2011.60.4.285. Epub 2011 Apr 26.
A 76-year-old, 148-cm woman was scheduled for right upper lobectomy. A 32 Fr left-sided double lumen tube was placed using a conventional technique. Despite several attempts under fiberoptic bronchoscope-guidance, we could not locate the double lumen tube properly. We thus decided to proceed with the bronchial tube in the right mainstem bronchus. During surgery, 8-cm-long laceration was noted on the posterolateral side of the trachea. To check the possibility of laceration of the proximal trachea, the double lumen tube was changed to an LMA for use as a conduit for fiberoptic bronchoscopic evaluation in the lateral position. A plain endotracheal tube with the cuff modified and collapsed was re-intubated after evaluation. And then she was transferred to SICU.
一位 76 岁、身高 148cm 的女性拟行右上肺叶切除术。我们采用常规技术为她置入了 32Fr 左侧双腔管。尽管在纤维支气管镜引导下进行了多次尝试，我们仍未能正确定位双腔管。因此，我们决定将支气管导管置于右主支气管内。术中发现气管后外侧有 8cm 长的裂伤。为了检查近端气管是否存在裂伤，我们将双腔管更换为 LMA 作为纤维支气管镜在侧卧位下进行评估的导管。评估后，我们重新插入了一个带有改良并塌陷的套囊的普通气管导管。随后，她被转入 SICU。
