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Journals / Uludağ Üniversitesi Tıp Fakültesi Dergisi / 2022 / Cilt: 48 Sayı: 1

Double Lumen Tube Intubation in Lateral Position in the Intraoperative Period

İntraoperatif Dönemde Lateral Pozisyonda Çift Lümenli Tüp Entübasyonu

Nezir Yılmaz(Adıyaman Üniversitesi Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Birimi, Adıyaman.)0000-0002-4351-6256
Pages
103–105
Publication Date
2022-04-01
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this case report, it was aimed to present successful double-lumen tube intubation with the using of GEB in a case who was intubated with a single-lumen endotracheal tube in the lateral position during the intraoperative period.

📌 3 Key Takeaways

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Objective & Hypothesis:structure, and their application in a patient position other than the supine position makes the situation more complicated.
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Key Findings & Data:The intubated patient who scheculed emergency thoracotomy because of left pneumothorax. single lung ventilation (TAV) was requested in order to reach the bleeding focus in the intraoperative period.
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Conclusion & Impact:In this case report, it was aimed to present successful double-lumen tube intubation with the using of GEB in a case who was intubated with a single-lumen endotracheal tube in the lateral position during the intraoperative period.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Lateral pozisyon · Çift lümenli tüp · Gum elastik buji

Abstract

structure, and their application in a patient position other than the supine position makes the situation more complicated. The intubated patient who scheculed emergency thoracotomy because of left pneumothorax. single lung ventilation (TAV) was requested in order to reach the bleeding focus in the intraoperative period. In order to provide TAV, double lumen tube intubation was successfully performed using a gum elastic bougie (GEB) with the aid of laryngoscopy in the lateral position. In this case report, it was aimed to present successful double-lumen tube intubation with the using of GEB in a case who was intubated with a single-lumen endotracheal tube in the lateral position during the intraoperative period.

Özet

Toraks cerrahileri için sıklıkla kullanılan çift lümenli tüpler geniş çap ve kıvrımlı yapısı nedeni ile malpozisyon ile sonuçlanabilmekte supin pozisyon dışındaki bir hasta pozisyonunda uygulanması durumu daha komplike hale getirmektedir. Sol pnömotoraks nedeni ile entübe olarak acil torakotomiye alınan hastada intraoperatif dönemde kanama odağına ulaşabilmek için tek akciğer ventilasyonu (TAV) istendi. TAV’ın sağlanabilmesi için lateral pozisyonda laringoskopi yardımı ile gum elastik buji (GEB) kullanılarak başarılı bir şekilde çift lümenli tüp entübasyonu gerçekleştirildi. Bu olgu sunumu ile intraoperatif dönemde lateral pozisyonda tek lümenli endotrakeal tüp ile entübe olan vakada GEB yardımı ile başarılı çift lümenli tüp entübasyonunun sunulması amaçlandı.

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Cite This Article

Yılmaz, N., *, N. Y. (2022). Double Lumen Tube Intubation in Lateral Position in the Intraoperative Period. Uludağ Üniversitesi Tıp Fakültesi Dergisi, Cilt: 48 Sayı: 1, 103–105. https://doi.org/10.32708/uutfd.997415

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References (12)

  1. Referans 1. Brodsky JB. Lung seperation and difficult airway. Br J Anesth 2009;103:66
  2. Referans 2. Brodsky JB. Fiberoptic bronchoscopy need not be a routine part of double-lumen tube placement. Current Opinion in Anaesth 2004:7-11.
  3. Referans 3. Klein U, Karzai W, Bloos F, Wohlfarth M, Gottschall R, Fritz H, et al. Role of fiberoptic bronchoscopy in conjunction with the use of double-lumen tubes for thoracic anesthesia: a prospective study. Anesth 1998:346- 50.
  4. Referans 4. Morgan GE, Mikhail MS, Murray MJ. Anesthesia for thoracic surgery. In: Morgan GE, Mikhail MS, Murray MJ, eds. Clinical Anesthesiology. 4th ed. New York: McGraw-Hill, 2006:585-613.
  5. Referans 5. Dikmen Y, Aykac B, Erolçay H. Unilateral high frequency jet ventilation during one-lung ventilation. Eur J Anaesthesiol 1997;14(3):239-243.
  6. Referans 6. McCaul CL, Harney D, Ryan M, Moran C, Kavanagh BP, Boylan JF. Airway management in the lateral position: a randomized controlled trial. Anesth Analg. 2005;101(4):1221-1225.
  7. Referans 7. Nathanson MH, Gajraj NM, Newson CD. Tracheal intubation in a manikin: comparison of supine and left lateral positions. Br. J. Anaesth. 1994; 73: 690-691
  8. Referans 8. Khan MF, Khan FA, Minai FN. Airway management and hemodynamic response to laryngoscopy and intubation in supine and left lateral positions. Middle East J Anaesthesiol. 2010;20(6):795-802.
  9. Referans 9. Ajımı J, Nıshıyama J, Hosoı S et al. Successful Double-lumen Tube Intubation in the Lateral Position for a Patient with a Giant Superior Mediastinal Tumor. Tokai J Exp Clin Med., Vol. 46, No. 1, pp. 22-25, 2021
  10. Referans 10. Rai MR. The humble bougie… forty years and still counting? Anaesthesia. 2014;69:199-203.
  11. Referans 11. Granell M, Parra MJ, Jime?nez MJ, et al. Review of difficult airway management in thoracic surgery. Rev Esp Anestesiol Reanim. 2018;65:31-40.
  12. Referans 12. Tunc¸ M, Sazak H, Baldemir R, Alago¨z A. Unexpected Difficult Intubation with a Double-Lumen Tube in a Case of Asymptomatic Vallecular Cyst. Turk J dAnaesthesiol Reanim. 2021; 49(4):334-337.)