Open AccessSingle-Lumen Endotracheal Tube and Bronchial Blocker for Airway Management During Tracheobronchoplasty for Tracheobronchomalacia: A Case Report
Author(s) -
Natalie S. Lui,
H. Henry Guo,
Arthur Sung,
Ashley Peterson,
Vivekanand Kulkarni
Publication year - 2019
Publication title -
aanda practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.233
H-Index - 14
ISSN - 2575-3126
DOI - 10.1213/xaa.0000000000001076
Subject(s) - tracheobronchomalacia , medicine , airway , airway management , endotracheal tube , lumen (anatomy) , thoracotomy , anesthesia , intubation , surgery
We present a case of a 69-year-old man who underwent tracheobronchoplasty for tracheobronchomalacia using a single-lumen endotracheal tube and a Y-shaped bronchial blocker for airway management. Tracheobronchoplasty is performed by sewing mesh to plicate the posterior, membranous wall of the distal trachea and main bronchi through a right posterolateral thoracotomy. The goals of airway management include continuous left-lung ventilation and lung protection from aspiration. Ideally, only conventional airway management tools are used. This case demonstrates that a single-lumen endotracheal tube with a bronchial blocker can be a straightforward strategy for airway management during tracheobronchoplasty.