Bilateral bronchial intubation through a tracheostomy incision after innominate artery laceration

Abstract A 17-year-old adolescent boy presented for direct laryngoscopy, rigid bronchoscopy, laser ablation of tracheal scar, and possible tracheostomy. The innominate artery was lacerated during tracheostomy. We describe a unique approach toward ventilation in this case in which two separate endotr...

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Veröffentlicht in:	Journal of clinical anesthesia 2007-05, Vol.19 (3), p.234-236
Hauptverfasser:	Filatoff, Gregory A., MD, Pitroda, Mukesh V., MD, MS, Marco, Alan P., MD, MMM, Papadimos, Thomas J., MD, MPH
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Anesthesia Anesthesia & Perioperative Care Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Bilateral bronchial Biological and medical sciences Blood Coagulation Disorders - etiology Blood Coagulation Disorders - therapy Brachiocephalic Trunk - injuries Difficult airway Hemorrhage Hemorrhage - etiology Hemorrhage - therapy Humans Innominate artery Intraoperative Complications - etiology Intraoperative Complications - therapy Intubation Intubation, Intratracheal - instrumentation Intubation, Intratracheal - methods Laceration Male Medical sciences Ostomy Pain Medicine Tracheal Stenosis - etiology Tracheal Stenosis - surgery Tracheostomy Tracheostomy - adverse effects Veins & arteries Ventilation
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Zusammenfassung:	Abstract A 17-year-old adolescent boy presented for direct laryngoscopy, rigid bronchoscopy, laser ablation of tracheal scar, and possible tracheostomy. The innominate artery was lacerated during tracheostomy. We describe a unique approach toward ventilation in this case in which two separate endotracheal tubes were connected through a Carlens tube adaptor.
ISSN:	0952-8180 1873-4529
DOI:	10.1016/j.jclinane.2006.08.012