Lalit Jha
All India Institute of Medical Sciences, IndiaTitle: Curious case of paediatric one lung ventilation with two endotracheal tubes: A case report
Abstract
One-lung
ventilation (OLV) is essential for adequate visualization and exposure of
surgical site during thoracic surgery. It is achieved with bronchial blockers,
double-lumen endobronchial tube, single-lumen endotracheal tubes and Univent
tube for infants and children. Fibreoptic bronchoscope is required
for placing and confirming the correct position of these tubes. OLV creates a
large intrapulmonary shunt as the non-ventilated lung is perfused without
oxygenation. We report a perioperative management of safe conduct of one lung
ventilation through C-MAC video laryngoscope guided two single lumen tubes.
Both tubes were placed in parallel with one tube in right bronchus and another
in trachea to achieve lung isolation for a 6-year child undergoing left lower
lobe lobectomy in limited resource settings where paediatric-sized fibreoptic
bronchoscope (FOB) is unavailable.
Biography
Lalit Jha has
completed his MD in Anesthesiology from Jawaharlal institute of postgraduate
medical education and research, Puducherry, India in 2021 and diplomate of
national board (DNB) in 2022. He is currently associated with division of
cardiac anesthesia as senior resident at All India Institute of Medical
Sciences, Patna. He has received scholarship at 17th world congress of
anesthesiology. He has published multiple research papers and presented in
national and international conferences.
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