Microlaryngeal endotracheal tube for lung isolation in pediatric patient with significant tracheal narrowing

Renu Sinha, Anjan Trikha, Rajkumar Subramanian

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

A 15-year-old boy, weighing 45 kg, 160 cm height with large anterior mediastinal mass and significant tracheal narrowing was scheduled for thoracotomy and excision of the mass. He had a history of progressive dyspnea, inability to lie supine, and a right upper hemithorax mass 13 cm × 13 cm × 11 cm as evident on a computerized tomography with significant compression of the trachea and right main stem bronchus. Inhalational induction was carried out using sevoflurane with 100% oxygen. After achieving adequate depth of anesthesia with the maintenance of spontaneous respiration with oxygen and sevoflurane (minimum alveolar concentration 1.7), left principal bronchus was intubated under fiber-optic bronchoscopy, with 5 mm cuffed microlaryngeal surgery tube. Excellent lung isolation was achieved. Selection of endotracheal tube for lung isolation and endobronchial intubation in the presence of significant tracheal narrowing are discussed.

Original languageEnglish (US)
Pages (from-to)490-493
Number of pages4
JournalSaudi Journal of Anaesthesia
Volume11
Issue number4
DOIs
StatePublished - Oct 1 2017

All Science Journal Classification (ASJC) codes

  • Anesthesiology and Pain Medicine

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