Single-Lumen Endotracheal Tube and Bronchial Blocker for Airway Management During Tracheobronchoplasty for Tracheobronchomalacia: A Case Report

A A Pract. 2019 Sep 15;13(6):236-239. doi: 10.1213/XAA.0000000000001076.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Airway Management / methods*
  • Airway Obstruction / surgery
  • Bronchi / surgery*
  • Equipment Design
  • Humans
  • Intubation, Intratracheal / instrumentation*
  • Male
  • One-Lung Ventilation / methods*
  • Thoracic Surgical Procedures / instrumentation*
  • Thoracic Surgical Procedures / methods*
  • Tracheobronchomalacia / surgery*