Lung isolation for lobectomy in an elderly, post radiation fibrosis of a difficult airway-pediatric double lumen tube and pediatric ureteroscope as rescue devices

Novel Use of Flexible Paediatric Video-Ureteroscope to Confirm Double Lumen Tube Placement as an Alternative to the Conventional Bronchoscope

“…Incorrect placement of DLT in thoracic surgeries can cause difficulties to manage a patient during an intraoperative period as well as in postoperative period which may affect the surgical outcome 4 . Uwe Klein et al concluded that fiberoptic bronchoscopy reduced the incidence of mal-positioning of DLT as well as have a therapeutic role to remove secretions and blood clots.…”

Post-radiotherapy suggests a possible difficult airway even with an asymptomatic supraglottic change

“…Author details 1 The Junior Resident Center, Ohara General Hospital, 6-1 Ohomachi, Fukushima 960-8611, Japan. 2 Department of Otorhinolaryngology, Head and Neck, Ohara General Hospital, 6-1 Ohomachi, Fukushima 960-8611, Japan.…”

“…Airway changes due to radiotherapy, even after several years, take various forms. One of the difficulties we encounter is the airway management [1,2]. Most of these cases involve laryngeal edema, fibrotic changes, and restriction of neck flexion.…”

A comment on – “Lung isolation for lobectomy in elderly, post-radiation fibrosis of a difficult airway – pediatric double-lumen tube and pediatric ureteroscope as rescue devices”

“…I read with great interest, the article by Gupta et al . on “Lung isolation for lobectomy in elderly, post-radiation fibrosis of a difficult airway – pediatric double-lumen tube and pediatric ureteroscope as rescue devices.”[ 1 ] I, hereby, congratulate the authors for the innovative use of ureteroscope for the confirmation of the position of 28 F double-lumen tube (DLT). However, I wish to share a concern regarding the management of the case.…”