Right upper lobe tracheal bronchus: Anesthetic challenge in one-lung ventilated patients - A report of three cases

Dong Kyu Lee, Young Min Kim, Hee Zoo Kim, Sang Ho Lim

    Research output: Contribution to journalArticlepeer-review

    25 Citations (Scopus)

    Abstract

    Tracheal bronchus (TB) is an aberrant, accessary or ectopic bronchus arising almost exclusively from the right side of the tracheal wall above the carina. In our center, 673 bronchoscopic examinations were performed from 2009 to 2011 in patients undergoing one lung ventilation (OLV) and 3 TB were found. The incidence of a TB at bronchoscopy was 0.45% in our research, which is consistent with the reported incidence range from 0.1-5%. The clinician should consider the possibility of anomalous right upper lobe bronchus and perform bronchoscopy prior to the right bronchial blocker insertion, when left-sided OLV using bronchial blocker is planned. Also, for the patient with TB, a double lumen tube insertion is recommended than a blocker insertion to achieve OLV completely.

    Original languageEnglish
    Pages (from-to)448-450
    Number of pages3
    JournalKorean journal of anesthesiology
    Volume64
    Issue number5
    DOIs
    Publication statusPublished - 2013 May

    Keywords

    • Bronchial blocker
    • Double lumen tube
    • One lung ventilation
    • Tracheal bronchus

    ASJC Scopus subject areas

    • Anesthesiology and Pain Medicine

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