Bilbao Ares A, Romero Menchaca O, Ramírez Gil E, Castañeda Pascual M, Guelbenzu Zazpe J, Salvador Bravo M
Servicio de Anestesia y Reanimación, Complejo Hospitalario de Navarra, Pamplona, Navarra, España.
Servicio de Anestesia y Reanimación, Complejo Hospitalario de Navarra, Pamplona, Navarra, España.
Rev Esp Anestesiol Reanim. 2015 Apr;62(4):218-21. doi: 10.1016/j.redar.2014.05.014. Epub 2014 Jul 8.
Airway injury caused by double-lumen tubes is a rare but potentially serious complication. We describe the case of a patient who had a bronchial rupture during one-lung ventilation with left double-lumen tube, complicated with a secondary cardiac arrest. She had a full recovery without sequelae. Underlying causes of the patient were a history of radiotherapy, and a possible overinflation of bronchial cuff, that it could contribute to the development of this complication. The possible airway injury should be considered by all practitioners who employ double-lumen tubes for the care of their patients.
双腔管引起的气道损伤是一种罕见但可能严重的并发症。我们描述了一例患者，其在使用左双腔管进行单肺通气期间发生支气管破裂，并并发继发性心脏骤停。她完全康复且无后遗症。该患者的潜在病因是有放疗史，以及支气管套囊可能过度充气，这可能促成了该并发症的发生。所有使用双腔管治疗患者的从业者都应考虑到可能的气道损伤。
