scholarly journals Successful anesthetic management in a child after traumatic rupture of left main bronchus by a single-lumen cuffed-endotracheal tube

2014 ◽  
Vol 17 (4) ◽  
pp. 292 ◽  
Author(s):  
Hamed Elgendy ◽  
Tariq Jilani
Keyword(s):  
Endotracheal Tube ◽  
Main Bronchus ◽  
Anesthetic Management ◽  
Left Main Bronchus ◽  
Traumatic Rupture ◽  
Left Main ◽  
Cuffed Endotracheal Tube ◽  
Single Lumen

scholarly journals Iatrogenic Left Main Bronchus Injury following Atraumatic Double Lumen Endotracheal Tube Placement

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
William R. Hartman ◽  
Michael Brown ◽  
James Hannon
Keyword(s):  
Endotracheal Tube ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Double Lumen Tube ◽  
Tube Placement ◽  
Left Main ◽  
Double Lumen ◽  
Lumen Tube ◽  
Double Lumen Endotracheal Tube ◽  
Endotracheal Tube Placement

Tracheobronchial disruption is an uncommon but severe complication of double lumen endotracheal tube placement. The physical properties of a double lumen tube (large external diameter and length) make tracheobronchial injury more common than that associated with smaller single lumen endotracheal tubes. Here we present the case of an iatrogenic left main bronchus injury caused by placement of a double lumen tube in an otherwise unremarkable airway.

Osseous pinch mechanism in traumatic rupture of aorta and the left main bronchus

Grand Rounds ◽  
2011 ◽  
Vol 11 ◽  
pp. 1-4 ◽  
Author(s):  
Maj Lesbo ◽  
Gratien Andersen ◽  
Per Hostrup Nielsen ◽  
Hans Kristian Pilegaard ◽  
Vibeke Elisabeth Hjortdal
Keyword(s):  
Main Bronchus ◽  
Left Main Bronchus ◽  
Traumatic Rupture ◽  
Left Main

scholarly journals An alternative for one lung ventilation in an adult horse requiring thoracotomy

2012 ◽  
Vol 81 (2) ◽  
pp. 98-101
Author(s):  
M. Gozalo-Marcilla ◽  
S. Schauvliege ◽  
S. Torfs ◽  
M. Jordana
Keyword(s):  
Endotracheal Tube ◽  
Surgical Procedure ◽  
Main Bronchus ◽  
Lung Ventilation ◽  
Left Main Bronchus ◽  
Left Main ◽  
One Lung Ventilation ◽  
Endoscopic Guidance ◽  
Endobronchial Blocker

In order to provide one lung ventilation in an anesthetized adult horse undergoing thoracoscopy and exploratory thoracotomy, an alternative to the described techniques was developed using a homemade endobronchial blocker construction. An orifice (with a diameter of 1 cm) was made 15 cm distally to the proximal end of a standard 28 mm ID endotracheal tube (ETT) allowing the placement of a standard broncho-alveolar catheter. The adapted ETT was advanced up to the larynx in the anesthetized horse. Prior to the intubation of the trachea, the broncho-alveolar catheter was passed through the ETT and positioned into the left main bronchus under endoscopic guidance. If it would have been required, the cuff of the broncho-alveolar catheter could have been inflated, allowing OLV. However, one lung ventilation was not required during the surgical procedure.

Velocity profiles in central airways with endotracheal intubation: a model study

1986 ◽  
Vol 60 (3) ◽  
pp. 876-884 ◽  
Author(s):  
A. S. Menon ◽  
M. E. Weber ◽  
H. K. Chang
Keyword(s):  
Endotracheal Tube ◽  
Endotracheal Intubation ◽  
Particle Deposition ◽  
Main Bronchus ◽  
Velocity Profiles ◽  
Left Main Bronchus ◽  
Scale Model ◽  
Left Main ◽  
Lobar Bronchus ◽  
The Right

Steady inspiratory velocity profiles were measured at two flow rates in a 3:1 scale model of the human central airways in the presence of five modes of endotracheal intubation. The presence of an orifice or a short endotracheal tube had no significant effect on the velocity profiles distal to the carina. Long endotracheal tubes change the profiles in both main bronchi. A significant peak occurred in the frontal plane near the walls, and the maximum velocity in the airway was almost identical to the endotracheal tube center-line velocity. The flow impinging on the medial wall of the main bronchus was redirected up around the anterior and posterior walls yielding bipeak velocity profiles in the sagittal plane. A tube placed eccentrically in the trachea over the right main bronchus did not alter the velocity profiles in the left main bronchus, suggesting a redirection of flow over the carina into the left lung. An endobronchial tube at the mouth of the right main bronchus did change the shape of the velocity profiles in the left main bronchus. In the left upper lobar bronchus the presence of trachea intubation had no effect on the velocity profiles. However, in the right upper lobar bronchus, the long endotracheal tube flattened the velocity profiles from the strongly skewed ones seen in the absence of the endotracheal inserts. These results not only are relevant to distribution of ventilation and aerosol particle deposition, but also have strong implications in intrapulmonary gas mixing, especially when high-frequency low tidal-volume ventilation is involved.

Traumatic Rupture of Ascending Aorta and Left Main Bronchus

1988 ◽  
Vol 45 (6) ◽  
pp. 682-683 ◽  
Author(s):  
Samuel H. Sadow ◽  
Charles A. Murray ◽  
Robert F. Wilson ◽  
Shahrokh Mansoori ◽  
Steven D. Harrington
Keyword(s):  
Main Bronchus ◽  
Ascending Aorta ◽  
Left Main Bronchus ◽  
Traumatic Rupture ◽  
Left Main

scholarly journals TRAUMATIC RUPTURE OF THE LEFT-MAIN BRONCHUS SUCCESSFULLY REPAIRED ELEVEN YEARS AFTER INJURY

1956 ◽  
Vol 32 (3) ◽  
pp. 312-331 ◽  
Author(s):  
Daniel E. Mahaffey ◽  
Oscar Creech ◽  
Hollis G. Boren ◽  
Michael E. DeBakey
Keyword(s):  
Main Bronchus ◽  
Left Main Bronchus ◽  
Traumatic Rupture ◽  
Left Main
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