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. 2018 Aug;62(8):621-624.
doi: 10.4103/ija.IJA_180_18.

Tracheal bronchus: A rare unforeseen anaesthetic challenge

Mita Eunice Sarkar  1 , Alfred Inbaraj  2 , Varghese Zachariah  1 , Sharmishta Shukla  1
Affiliations

Tracheal bronchus: A rare unforeseen anaesthetic challenge

Mita Eunice Sarkar et al. Indian J Anaesth. 2018 Aug.

Abstract

The most common congenital central airway anomaly, a tracheal bronchus is of concern during airway management especially if previously undetected. If present, it can lead to inadequate ventilation both during intubation with a normal endotracheal tube and an attempted double lumen tube insertion for one lung ventilation. Meticulous preoperative assessment and use of adjuncts like bronchoscopy before lung isolation can safely and successfully assist the anaesthetic management of such cases.

Keywords: Endotracheal tube; one lung ventilation; tracheal bronchus.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Chest xray showing type II tracheal bronchus indicated by arrow a and the right upper lobe bronchus by arrow b
Figure 2
Figure 2
A schematic overview of types of tracheal bronchus of importance to the anaesthesiologist
See this image and copyright information in PMC

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