| Autor: |
Renu Sinha, Anjan Trikha, Rajkumar Subramanian |
| Jazyk: |
angličtina |
| Rok vydání: |
2017 |
| Předmět: |
|
| Zdroj: |
Saudi Journal of Anaesthesia, Vol 11, Iss 4, Pp 490-493 (2017) |
| Druh dokumentu: |
article |
| ISSN: |
1658-354X |
| DOI: |
10.4103/1658-354X.215427 |
| Popis: |
A 15-year-old boy, weighing 45 kg, 160 cm height with large anterior mediastinal mass and significant tracheal narrowing was scheduled for thoracotomy and excision of the mass. He had a history of progressive dyspnea, inability to lie supine, and a right upper hemithorax mass 13 cm × 13 cm × 11 cm as evident on a computerized tomography with significant compression of the trachea and right main stem bronchus. Inhalational induction was carried out using sevoflurane with 100% oxygen. After achieving adequate depth of anesthesia with the maintenance of spontaneous respiration with oxygen and sevoflurane (minimum alveolar concentration 1.7), left principal bronchus was intubated under fiber-optic bronchoscopy, with 5 mm cuffed microlaryngeal surgery tube. Excellent lung isolation was achieved. Selection of endotracheal tube for lung isolation and endobronchial intubation in the presence of significant tracheal narrowing are discussed. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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