“…Intraoperative tracheobronchial rupture is a rare but a serious complication which results either due to dissection during chest surgery or during endotracheal (ET) intubation. It is a potentially a fatal injury and manifested by difficulty in breathing, inadequate oxygenation, bloody sputum, discomfort behind the sternum and subcutaneous emphysema [[1], [2]], (see Fig. 1)Fig.…”
Section: Introductionmentioning
confidence: 99%
“…Most of TBI occurs within 2.5 cm of the carina, and require a fibroptic Bronchoscopy to diagnose a tracheal tear and determine its severity and extent. Management of such cases is a challenging situation as it requires a right-sided thoracotomy with One-lung ventilation [[1], [2], [3]]. It is essential to maintain spontaneous ventilation until a definitive airway is established as positive pressure ventilation may further enhance the extent of the tracheal dissection.…”
Intraoperative tracheobronchial injury (TBI) may manifest clinically as pneumothorax, pneumomediastinum, subcutaneous emphysema, cyanosis, and respiratory insufficiency and has serious implications if it remains undetected or is managed improperly. The outcome of such injuries is affected by the extent of the lesion, pulmonary status & the surgical reconstruction undertaken. The recommended airway management of an intraoperative tracheal tear is to bypass the injured side by intubating the healthy bronchus with a single lumen endotracheal tube (ETT) and the use of a bronchial blocker or double lumen endotracheal tube (DLT) and becomes a very challenging situation.We report successful anaesthetic management of an accidental traumatic rupture of the left main bronchus during surgical dissection in an elderly lady of Carcinoma Oesophagus who underwent a Video Assisted Thoracoscopic surgery (VATS), and was managed by one lung ventilation of the contralateral (right) side manipulating the same DLT and lung protective ventilation.
“…Intraoperative tracheobronchial rupture is a rare but a serious complication which results either due to dissection during chest surgery or during endotracheal (ET) intubation. It is a potentially a fatal injury and manifested by difficulty in breathing, inadequate oxygenation, bloody sputum, discomfort behind the sternum and subcutaneous emphysema [[1], [2]], (see Fig. 1)Fig.…”
Section: Introductionmentioning
confidence: 99%
“…Most of TBI occurs within 2.5 cm of the carina, and require a fibroptic Bronchoscopy to diagnose a tracheal tear and determine its severity and extent. Management of such cases is a challenging situation as it requires a right-sided thoracotomy with One-lung ventilation [[1], [2], [3]]. It is essential to maintain spontaneous ventilation until a definitive airway is established as positive pressure ventilation may further enhance the extent of the tracheal dissection.…”
Intraoperative tracheobronchial injury (TBI) may manifest clinically as pneumothorax, pneumomediastinum, subcutaneous emphysema, cyanosis, and respiratory insufficiency and has serious implications if it remains undetected or is managed improperly. The outcome of such injuries is affected by the extent of the lesion, pulmonary status & the surgical reconstruction undertaken. The recommended airway management of an intraoperative tracheal tear is to bypass the injured side by intubating the healthy bronchus with a single lumen endotracheal tube (ETT) and the use of a bronchial blocker or double lumen endotracheal tube (DLT) and becomes a very challenging situation.We report successful anaesthetic management of an accidental traumatic rupture of the left main bronchus during surgical dissection in an elderly lady of Carcinoma Oesophagus who underwent a Video Assisted Thoracoscopic surgery (VATS), and was managed by one lung ventilation of the contralateral (right) side manipulating the same DLT and lung protective ventilation.
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