Ventilation failure after lateral jackknife positioning for robot-assisted lung cancer surgery in a patient after lingula-sparing left upper lobectomy

JA Clinical Reports

Eiichi Inada¹  Kenji Suzuki²  Masakazu Hayashida³  Izumi Kawagoe⁴  Daizoh Satoh⁵ 

[1] Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine;Department of General Thoracic Surgery, Juntendo University School of Medicine;Division of Cardiovascular Anesthesia, Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine;Division of General Thoracic Anesthesia, Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine;Division of Intensive Care Medicine, Department of Anesthesiology and Pain Medicine, Juntendo University School of Medicine;

关键词: Double-lumen tube;    Lateral jackknife position;    One-lung ventilation;    Robot-assisted thoracic surgery;    Silbroncho® tube;   

DOI  :  10.1186/s40981-018-0188-8

来源: DOAJ

【 摘 要 】

Abstract Background Ventilation failure commonly occurs when a standard left-sided double-lumen tube is used in patients after left upper lobectomy having remarkable angulation of the left main bronchus. We present a female without remarkable angulation, in whom ventilation failure occurred after lateral jackknife positioning. Case presentation A 73-year-old female after lingula-sparing left upper lobectomy without remarkable angulation was scheduled for robot-assisted right upper lobectomy. Ventilation failure with a standard left-sided double-lumen tube occurred when she was placed not in the lateral position but in the lateral jackknife position required for robotic surgery. After replacement by the Silbroncho® left-sided double-lumen tube, adequate one-lung ventilation became possible. Conclusions Ventilation failure with a standard tube may occur more easily when patients with bronchial angulation are placed in the lateral jackknife than lateral position due to posture-induced exacerbations of bronchial angulation. The Silbroncho® tube seems useful in such situations.

【 授权许可】

Unknown