Unexpected difficult intubation with a double-lumen tube in a case of asymptomatic vallecular cyst


TUNÇ M., SAZAK H., BALDEMİR R., ALAGÖZ A.

Turkish Journal of Anaesthesiology and Reanimation, cilt.49, sa.4, ss.334-337, 2021 (ESCI, Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 49 Sayı: 4
  • Basım Tarihi: 2021
  • Doi Numarası: 10.5152/tjar.2021.291
  • Dergi Adı: Turkish Journal of Anaesthesiology and Reanimation
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.334-337
  • Anahtar Kelimeler: Unexpected difficult intubation, vallecular cyst, double-lumen tube, gum bougie
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Vallecular cyst (VC) can cause difficult intubation. If a double-lumentube (DLT) has to be placed, difficulty in tracheal intubation becomes more complicated. The gum elastic bougie (GEB) is a widely used device for facilitating tracheal intubation. However, there is not enough study with DLT to make a prediction for success of GEB-guided intubation. Here, we aimed to describe our approach during unexpected difficult intubation due to VC in a patient required DLT insertion. We emphasise that, in the case of confronting a patient with asymptomatic VC as a cause of difficult intubation, a successful DLT intubation is possible by sliding endobronchial lumen of DLT over paediatric GEB.