Anesthetic Experience of Patients with a Congenital Tracheal Bronchus: A report of two cases

Wook, Jin; Kwak, Sang Hyun; Kim, Seok Jai; Kim, Chang Mo; Jeong, Sung Tae; Bae, Hong-Beom; Yoo, Kyung Yeon

doi:10.4097/kjae.2006.51.5.638

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2010

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“…It was not only attributed to the tracheal deviation which made it difficult to navigate the bronchoscope, but also to "no doubt" of any tracheobronchial abnormality. The clinical implications of the TB mainly manifested with endotracheal intubation, and the most effective method to mitigate those clinical implications is the recognition of the TB beforehand [ 3 , 8 - 10 ].…”

Section: Discussionmentioning

confidence: 99%

Anesthetic experience of an adult patient with an unrecognized tracheal bronchus -A case report-

Choi

Kwak

Choi

et al. 2010

Korean J Anesthesiol

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We present a case of problematic tracheal intubation in an adult patient with an unrecognized tracheal bronchus. Immediately after tracheal intubation and position change to prone, bilateral breath sounds were almost absent, and there was a diminished tidal volume. In order to resolve the ventilatory difficulty, the wire-reinforced tube was replaced with a conventional tube, and proper positioning of the tube was completed under fiberoptic guidance. A tracheal bronchus (originating about 1.2 cm above the carina, and supplying the right upper lobe) was found on the postoperative chest CT. In the presence of tracheal bronchus, tracheal intubation may cause pulmonary complications. Anesthesiologists should keep in mind the anesthetic implications of tracheal bronchus, and must be familiar with the use of fiberoptic bronchoscopy for proper positioning of endotracheal tube.

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Section: Discussionmentioning

confidence: 99%