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Anesth Analg 2005;101:1094-1097
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ane.0000167637.36187.22

TECHNOLOGY, COMPUTING, AND SIMULATION

Difficult Ventilation with a Double-Lumen Endotracheal Tube: An Unusual Manufacturing Defect

Hung-Shu Chen, MD, Bruno Jawan, MD, Chia-Chih Tseng, MD, Kwok-Wai Cheng, MD, and Chih-Hsien Wang, MD

Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University, Taipei, Taiwan, Republic of China

Address correspondence and reprint requests to Chih-Hsien Wang, MD, Department of Anesthesiology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, 123, Ta-pei Rd., 833 Niao Sung Hsiang, Kaohsiung Hsien, Taiwan, ROC. Address e-mail to cchwang{at}adm.cgmh.org.tw.

We report an unexpected difficult ventilation with a double-lumen endotracheal tube in a patient receiving left upper lobe lung mass resection. The manufacturing defect in both limbs of the Opti-Port Right Angle Double Swivel Connector of the double-lumen tube resulted in this problem. This defect is difficult to localize by the usual recommended methods. We discuss a modified algorithm for difficult ventilation with a double-lumen endotracheal tube.




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 Anesth. Analg.Home page
P. K. Sinha and T. Koshy
Defective Double Lumen Tubes: Mallinckrodt the Culprit!
Anesth. Analg., June 1, 2007; 104(6): 1603 - 1604.
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 Anesth. Analg.Home page
S. D. Adhikary and B. S. Krishnan
Unusual Defect in a Double-Lumen Endotracheal Tube
Anesth. Analg., December 1, 2006; 103(6): 1594 - 1595.
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T. Koshy, P. K. Sinha, and A. Vijayakumar
Another Defect in Right-Angle Double Connector Resulting in High Peak Inspiratory Pressure During One Lung Anesthesia: A Simple and Practical Approach for Rapid Detection
Anesth. Analg., October 1, 2006; 103(4): 1057 - 1058.
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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.