• Acta Anaesthesiol Scand · Oct 1997

    Case Reports

    Rupture of the left main-stem bronchus by the tracheal portion of a double-lumen endobronchial tube.

    • T Sakuragi, K Kumano, M Yasumoto, and K Dan.
    • Department of Anesthesiology, School of Medicine, Fukuoka University, Japan.
    • Acta Anaesthesiol Scand. 1997 Oct 1;41(9):1218-20.

    AbstractWe report a rupture of the left main-stem bronchus following the insertion of a left-sided double-lumen endobronchial tube in a 76-yr-old woman with a short trachea. A fiberoptic bronchoscope was not used during the initial insertion of the tube and the depth of insertion resulted in approximately 5 cm in excess of the optimal level for this patient. The rupture had been caused by the tracheal portion of the double-lumen tube. This damage may have been avoided if a fiberoptic bronchoscope was used routinely as an introducer and for positioning of the endobronchial tube under direct vision.

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