Rupture of left main bronchus due to a left double-lumen tube in patient with a history of radiotherapy

Airway injury caused by double-lumen tubes is a rare but potentially serious complication. We describe the case of a patient who had a bronchial rupture during one-lung ventilation with left double-lumen tube, complicated with a secondary cardiac arrest. She had a full recovery without sequelae. Und...

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Veröffentlicht in:Revista española de anestesiología y reanimación 2015-04, Vol.62 (4), p.218-221
Hauptverfasser: Bilbao Ares, A, Romero Menchaca, O, Ramírez Gil, E, Castañeda Pascual, M, Guelbenzu Zazpe, J, Salvador Bravo, M
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container_issue 4
container_start_page 218
container_title Revista española de anestesiología y reanimación
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creator Bilbao Ares, A
Romero Menchaca, O
Ramírez Gil, E
Castañeda Pascual, M
Guelbenzu Zazpe, J
Salvador Bravo, M
description Airway injury caused by double-lumen tubes is a rare but potentially serious complication. We describe the case of a patient who had a bronchial rupture during one-lung ventilation with left double-lumen tube, complicated with a secondary cardiac arrest. She had a full recovery without sequelae. Underlying causes of the patient were a history of radiotherapy, and a possible overinflation of bronchial cuff, that it could contribute to the development of this complication. The possible airway injury should be considered by all practitioners who employ double-lumen tubes for the care of their patients.
doi_str_mv 10.1016/j.redar.2014.05.014
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subjects Adenocarcinoma - surgery
Aged
Breast Neoplasms - radiotherapy
Breast Neoplasms - surgery
Bronchi - injuries
Bronchi - pathology
Bronchi - radiation effects
Female
Fibrosis
Heart Arrest
Humans
Intubation - adverse effects
Lung Neoplasms - surgery
Mastectomy, Segmental
Neoplasms, Second Primary - surgery
One-Lung Ventilation - instrumentation
Pneumonectomy
Pressure - adverse effects
Pulmonary Disease, Chronic Obstructive - complications
Radiation Injuries - complications
Radiation Injuries - pathology
Radiotherapy, Adjuvant - adverse effects
Rupture - etiology
title Rupture of left main bronchus due to a left double-lumen tube in patient with a history of radiotherapy
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