Can J Anesth/J Can Anesth (2017) 64:979–980 DOI 10.1007/s12630-017-0919-8 IMAGES IN ANESTHESIA Tracheal bronchus: an unusual cause of difﬁcult ventilation . . . Divya Jain, MD Neerja Bhardwaj, MD Ashish Pareek, MD Badal Parikh, MD Received: 27 April 2017 / Revised: 1 June 2017 / Accepted: 16 June 2017 / Published online: 22 June 2017 Canadian Anesthesiologists’ Society 2017 We recently experienced a ‘‘cannot ventilate scenario’’ in a trachea (Figure). We suspected that the distal end of the child caused by entrapment of an endotracheal tube (ETT) ETT abutting on the tracheal bronchus resulted in the in a tracheal bronchus. inability to ventilate and resistance to advancing the ETT. This four-month-old American Society of Anesthesiologists The child was subsequently successfully anesthetized and physical status I infant, weighing 5 kg, presented with a intubated using a 4-mm ETT that was advanced with its tip stoma prolapse and was scheduled for stoma closure. She rotated at 180 to avoid being diverted into the accessory had undergone previous operations under general anesthesia bronchus. A ﬂexible bronchoscope had been prepared to to address her anorectal malformation and had been facilitate ETT passage had our initial attempt been previously successfully intubated and ventilated via
Canadian Journal of Anesthesia/Journal canadien d'anesthésie – Springer Journals
Published: Jun 22, 2017
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