Inability to ventilate the lungs of a patient with tracheal anomaly and in prone position.

Abstract

We present the case of an otherwise asymptomatic patient with a rare congenital airway abnormality of the tracheobronchial tree, who developed a complete airway obstruction after being placed in the prone position.

The tracheal bronchus, accessory bronchus arising from the trachea superior to its bifurcation at the carina, was identified by fiberoptic bronchoscopic examination.

An endotracheal tube can migrate into a tracheal bronchus causing pulmonary atelectasis, hypoxia, or both.

Full Text

• DOI - Journal of Clinical Anesthesia (DOI)
• EBSCO - full-text online (subscription/membership/fee required)
• Elsevier Science - full-text online (subscription/membership/fee required)
• MD Consult - full-text online (subscription/membership/fee required)
• Swets Information Services - full-text online (subscription/membership/fee required)

Subjects

• Adult
• Airway Obstruction
• Bronchi
• Bronchoscopy
• Fiber Optic Technology
• Humans
• Male
• Prone Position
• Trachea

Similar articles

• Case report: Endotracheal tube malposition in a patient with a tracheal bronchus. (2006-07-28)
• Airway management of a patient with tracheal stenosis for surgery in the prone position. (2004-08-16)
• Tracheal bronchus in the adult population. (2011-04-01)
• Challenging lung isolation secondary to aberrant tracheobronchial anatomy. (2011-02-25)
• Brief review: Airway rescue with insertion of laryngeal mask airway devices with patients in the prone position. (2010-10-20)
• [Anesthetic management of a morbidly obese patient in prone position for lumbar laminectomy]. (2012-09-20)
• Airway obstruction in neonates and children: surgical treatment. (1995-07-10)
• Intraoperative airway obstruction in a Duchenne muscular dystrophy patient. (2013-03-17)
• Tracheal stenting for primary tracheal mucosa-associated lymphoid tissue lymphoma. (2013-04-02)

Authors

• Ramprasad Sripada
• Kristal Keys
• Kurt M Eichholz

Publication date

2008-09-01

Journal

Journal topics

• Anesthesiology

Language

Eng.

Copyright

Journal of Clinical Anesthesia

Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN 37232-8510, USA. ramprasad.sripada [at] vanderbilt.edu

Release reference

J Clin Anesth. 2008 Aug;20(5):386-8

Related books

• Books of Airway Obstruction
• Books of Anesthesiology
• Books of Bronchi
• Books of Bronchoscopy
• Books of Fiber Optic Technology
• Books of Prone Position
• Books of Trachea