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Bronchial rupture after intubation with double lumen endotracheal tube. Case report.

Abstract：

BACKGROUND AND OBJECTIVES:Tracheobronchial tree injuries are uncommon however severe complications after intubation or bronchoscopy. This report aimed at calling the attention to the difficult selective intubation, which has led to bronchial rupture associated to pneumomediastinum and hypertensive pneumothorax, with airway deformation and death by systemic inflammatory response. CASE REPORT:Male patient, 50 years old, with bronchopleural fistula secondary to bulla rupture in right lung upper lobe. After anesthetic induction it was difficult to intubate left bronchus. At the third attempt, patient developed hypoxemia, hypotension and extensive subcutaneous emphysema, being submitted to thoracic drainage for hypertensive pneumothorax. Fibrobronchoscopy has revealed left bronchus laceration. Patient evolved with hemoptysis, and left thoracotomy was necessary to suture bronchial laceration. Patient developed postoperative multiple organs dysfunction and evolved to death. CONCLUSIONS:Selective intubation is a procedure to be carefully performed, being necessary the understanding of some risk factors and the early diagnosis of complications.

journal_name

Rev Bras Anestesiol

journal_title

Revista brasileira de anestesiologia

authors

Bessa Júnior RC,Jorge JC,Eisenberg AF,Duarte WL,Silva MS

doi

10.1590/s0034-70942005000600009

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

660-4

issue

6

eissn

0034-7094

issn

1806-907X

pii

S0034-70942005000600009

journal_volume

55

pub_type

杂志文章

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