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Case Reports
. 2005 Oct;101(4):1094-1097.
doi: 10.1213/01.ane.0000167637.36187.22.

Difficult ventilation with a double-lumen endotracheal tube: an unusual manufacturing defect

Hung-Shu Chen  1 , Bruno Jawan, Chia-Chih Tseng, Kwok-Wai Cheng, Chih-Hsien Wang
Affiliations
Case Reports

Difficult ventilation with a double-lumen endotracheal tube: an unusual manufacturing defect

Hung-Shu Chen et al. Anesth Analg. 2005 Oct.

Abstract

We report an unexpected difficult ventilation with a double-lumen endotracheal tube in a patient receiving left upper lobe lung mass resection. The manufacturing defect in both limbs of the Opti-Port Right Angle Double Swivel Connector of the double-lumen tube resulted in this problem. This defect is difficult to localize by the usual recommended methods. We discuss a modified algorithm for difficult ventilation with a double-lumen endotracheal tube.

Implications: Difficult ventilation occurred during general anesthesia as the result of a manufacturing defect in both limbs of the connector of the double-lumen endotracheal tube. The problem was resolved with a careful approach, and there were no serious consequences.

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References

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