Unexpected Difficult Intubation with a Double-Lumen Tube in a Case of Asymptomatic Vallecular CystMehtap Tu

Özet

Vallecular cyst (VC) can cause difficult intubation. If a double-lumentube (DLT) has to be placed, difficulty in tracheal intubation becomes more complicated. The gum elastic bougie (GEB) is a widely used device for facilitating tracheal intubation. However, there is not enough study with DLT to make a prediction for success of GEB-guided intubation. Here, we aimed to describe our approach during unexpected difficult intuba- tion due to VC in a patient required DLT insertion. We emphasise that, in the case of confronting a patient with asymptomatic VC as a cause of difficult intubation, a successful DLT intubation is possible by sliding endobronchial lumen of DLT over paediatric GEB.