Saudi Journal of Anaesthesia

CASE REPORT
Year
: 2017  |  Volume : 11  |  Issue : 4  |  Page : 490--493

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


Renu Sinha, Anjan Trikha, Rajkumar Subramanian 
 Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Rajkumar Subramanian
Department of Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi - 110 029
India

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.


How to cite this article:
Sinha R, Trikha A, Subramanian R. Microlaryngeal endotracheal tube for lung isolation in pediatric patient with significant tracheal narrowing.Saudi J Anaesth 2017;11:490-493


How to cite this URL:
Sinha R, Trikha A, Subramanian R. Microlaryngeal endotracheal tube for lung isolation in pediatric patient with significant tracheal narrowing. Saudi J Anaesth [serial online] 2017 [cited 2021 Nov 29 ];11:490-493
Available from: https://www.saudija.org/article.asp?issn=1658-354X;year=2017;volume=11;issue=4;spage=490;epage=493;aulast=Sinha;type=0