Successful double lumen tube insertion in a patient with unanticipated laryngeal and tracheal web

A 45-year-old female patient admitted for surgical management of carcinoma esophagus, presented with difficulty in insertion of left-sided 37 F and 35 F double lumen tube (Mallinckrodt® Broncho-Cath). Fiberoptic bronchoscopy revealed a subglottic web in the larynx just below the vocal cords and a tr...

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Veröffentlicht in:	Annals of cardiac anaesthesia 2011-09, Vol.14 (3), p.211-213
Hauptverfasser:	Virmani, Sanjula, Uppal, Rajeev, Kiro, Kiranlata, Bhandari, Hricha, Dutta, Devesh, Singh, Nawab, Aggarwal, Anil
Format:	Artikel
Sprache:	eng
Schlagworte:	Airway management Case studies Diagnosis Difficult intubation Diseases double lumen tube Equipment and supplies Esophageal Neoplasms - surgery Female Fiber optics Humans Intubation, Intratracheal - instrumentation Intubation, Intratracheal - methods laryngeal and tracheal webs Laryngeal diseases Laryngeal Diseases - complications Larynx Middle Aged Postoperative period Surgery Trachea Tracheal Diseases - complications Ventilation
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Zusammenfassung:	A 45-year-old female patient admitted for surgical management of carcinoma esophagus, presented with difficulty in insertion of left-sided 37 F and 35 F double lumen tube (Mallinckrodt® Broncho-Cath). Fiberoptic bronchoscopy revealed a subglottic web in the larynx just below the vocal cords and a tracheal web just above the carina. Differential lung ventilation could be achieved with a 35 F internal diameter double lumen tube (Portex® Blueline® Endobronchial tube).
ISSN:	0971-9784 0974-5181
DOI:	10.4103/0971-9784.84022