Management of the ventilation in intraoperative tracheobronchial injury with manual occlusion of the rent—An unusual case report
Intraoperative tracheobronchial injury is one of the most serious complications of any thoracic surgery. Its management is really challenging both for the surgeons as well as for the anesthesiologists. We present a rare case of intraoperative tracheobronchial injury during esophagectomy and the mana...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Saudi Journal of Anaesthesia |
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| Online Access: | https://journals.lww.com/10.4103/sja.sja_322_24 |
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| author | Sofia Jaswal Harsimran S. Walia Lalita G. Mitra Sahil Mittal |
| author_facet | Sofia Jaswal Harsimran S. Walia Lalita G. Mitra Sahil Mittal |
| author_sort | Sofia Jaswal |
| collection | DOAJ |
| description | Intraoperative tracheobronchial injury is one of the most serious complications of any thoracic surgery. Its management is really challenging both for the surgeons as well as for the anesthesiologists. We present a rare case of intraoperative tracheobronchial injury during esophagectomy and the management of the ventilation by intermittent manual occlusion of the rent as a rescue method. The left-sided bronchus got injured near the carina, while the patient was on one-lung ventilation in a lateral position and the left lung was being ventilated with a left-sided double-lumen tube (DLT). Surgeons decided to repair it in a lateral position and required the right lung to be deflated for surgical access. The endobronchial part of the tube was taken out in the trachea, and the patient was intermittently ventilated by occlusion of tracheal rent by the surgeon as a rescue measure. Intermittent apnea and ventilation were conducted, and the repair of tracheal rent was conducted in the apnea period. A negligible air leak was present after the repair. Manual occlusion of the rent can help restore ventilation in an emergency situation when other options are technically difficult. |
| format | Article |
| id | doaj-art-c94f4d3f1f564a639327840bbc87bad4 |
| institution | Kabale University |
| issn | 1658-354X 0975-3125 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Saudi Journal of Anaesthesia |
| spelling | doaj-art-c94f4d3f1f564a639327840bbc87bad42025-02-06T07:24:16ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X0975-31252025-01-0119112913010.4103/sja.sja_322_24Management of the ventilation in intraoperative tracheobronchial injury with manual occlusion of the rent—An unusual case reportSofia JaswalHarsimran S. WaliaLalita G. MitraSahil MittalIntraoperative tracheobronchial injury is one of the most serious complications of any thoracic surgery. Its management is really challenging both for the surgeons as well as for the anesthesiologists. We present a rare case of intraoperative tracheobronchial injury during esophagectomy and the management of the ventilation by intermittent manual occlusion of the rent as a rescue method. The left-sided bronchus got injured near the carina, while the patient was on one-lung ventilation in a lateral position and the left lung was being ventilated with a left-sided double-lumen tube (DLT). Surgeons decided to repair it in a lateral position and required the right lung to be deflated for surgical access. The endobronchial part of the tube was taken out in the trachea, and the patient was intermittently ventilated by occlusion of tracheal rent by the surgeon as a rescue measure. Intermittent apnea and ventilation were conducted, and the repair of tracheal rent was conducted in the apnea period. A negligible air leak was present after the repair. Manual occlusion of the rent can help restore ventilation in an emergency situation when other options are technically difficult.https://journals.lww.com/10.4103/sja.sja_322_24intraoperativemanual occlusiontracheobronchial injury |
| spellingShingle | Sofia Jaswal Harsimran S. Walia Lalita G. Mitra Sahil Mittal Management of the ventilation in intraoperative tracheobronchial injury with manual occlusion of the rent—An unusual case report Saudi Journal of Anaesthesia intraoperative manual occlusion tracheobronchial injury |
| title | Management of the ventilation in intraoperative tracheobronchial injury with manual occlusion of the rent—An unusual case report |
| title_full | Management of the ventilation in intraoperative tracheobronchial injury with manual occlusion of the rent—An unusual case report |
| title_fullStr | Management of the ventilation in intraoperative tracheobronchial injury with manual occlusion of the rent—An unusual case report |
| title_full_unstemmed | Management of the ventilation in intraoperative tracheobronchial injury with manual occlusion of the rent—An unusual case report |
| title_short | Management of the ventilation in intraoperative tracheobronchial injury with manual occlusion of the rent—An unusual case report |
| title_sort | management of the ventilation in intraoperative tracheobronchial injury with manual occlusion of the rent an unusual case report |
| topic | intraoperative manual occlusion tracheobronchial injury |
| url | https://journals.lww.com/10.4103/sja.sja_322_24 |
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