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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