• Anaesthesia · Jun 2006

    Case Reports

    Endobronchial tubes - a case for re-evaluation.

    • I D Conacher, H Velasquez, and D J Morrice.
    • Cardiothoracic Anaesthesia Department, Freeman Hospital, Newcastle Hospitals NHS Trust, Newcastle upon Tyne, England, UK. i.d.conacher@binternet.com
    • Anaesthesia. 2006 Jun 1; 61 (6): 587-90.

    AbstractAn endobronchial tube (Macintosh-Leatherdale) was used to secure the airway for a tracheal resection and end-to-end anastomosis. This lung separation device enabled insertion of both a fibreoptic bronchoscope and a tube exchange catheter. These were required after the trachea was transected and re-anastomosis proved surgically difficult. The airway exchange catheter allowed for jet ventilation and later a tube change when an emergency occurred. Options and management issues for tracheal surgery and lung separators are discussed. A case is made for a re-evaluation of endobronchial tubes both as a useful conduit for modern airway instruments and as an alternative to small double-lumen tubes for the increasing population of obese patients weighing > 100 kg, requiring thoracic surgery.

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