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Canadian Journal of Anesthesia, Vol 34, 172-173, Copyright © 1987 by Canadian Anesthesiologists' Society

ARTICLES

Fibreoptic bronchoscopy for tracheal and endobronchial intubation with a double-lumen tube

MS Shulman, JB Brodsky and PR Levesque

A 68-year-old patient was scheduled for a thoracotomy. A double-lumen endobronchial tube was requested by the surgeon to facilitate operating conditions. Initial attempts at intubation by conventional methods were unsuccessful. The proximal ends of a 37F double-lumen tube were then shortened and a 4-mm fibreoptic bronchoscope was passed through the bronchial lumen. The patient's larynx was easily visualized and the bronchoscope was passed into the trachea. The double lumen tube was then advanced over the bronchoscope and correctly positioned. Shortening a double-lumen tube allows the use of a fibreoptic bronchoscope to aid in tracheal intubation in a patient whose larynx is difficult to visualize by conventional methods.




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Copyright © 1987 by the Canadian Anesthesiologists' Society.