European journal of anaesthesiology and intensive care · 2025
Lung isolation on a patient with a tracheal bronchus: Advanced airway management.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Granell Manuel, Ferrer Nicolás, Guijarro Ricardo, De Andrés Jose
Аннотация
BACKGROUND AND OBJECTIVES: Tracheal bronchus is a rare anatomical variant (prevalence ∼1%) that complicates lung isolation during thoracic surgery. We present an airway management approach using a double-lumen tube with an integrated camera (VivaSight DL) in a patient with this anomaly, highlighting the importance of preoperative imaging and device selection.
CASE REPORT: A 46-year-old male with an incidental tracheal bronchus underwent left upper lobectomy. Preoperative assessment included virtual bronchoscopy, computed tomography (CT) with 3D reconstruction and flexible bronchoscopy, confirming the aberrant bronchus originating 2 cm above the carina. A 37Fr left-sided video double-lumen tube was inserted under real-time guidance using its integrated camera, with tracheal bronchus patency confirmed by flexible bronchoscopy through the tracheal lumen. One-lung ventilation was achieved without complications.
CONCLUSION: In tracheal bronchus cases, preoperative CT with 3D reconstruction and bronchoscopy are critical for airway planning. Using a double-lumen tube with an integrated camera facilitates safe lung isolation by allowing real-time visual confirmation of anatomy and cuff positioning.
CASE REPORT: A 46-year-old male with an incidental tracheal bronchus underwent left upper lobectomy. Preoperative assessment included virtual bronchoscopy, computed tomography (CT) with 3D reconstruction and flexible bronchoscopy, confirming the aberrant bronchus originating 2 cm above the carina. A 37Fr left-sided video double-lumen tube was inserted under real-time guidance using its integrated camera, with tracheal bronchus patency confirmed by flexible bronchoscopy through the tracheal lumen. One-lung ventilation was achieved without complications.
CONCLUSION: In tracheal bronchus cases, preoperative CT with 3D reconstruction and bronchoscopy are critical for airway planning. Using a double-lumen tube with an integrated camera facilitates safe lung isolation by allowing real-time visual confirmation of anatomy and cuff positioning.