Zusammenfassung
Die Ein-Lungen-Ventilation ist das Standardverfahren für viele Lungeneingriffe. Treten Anomalien des Bronchialgangsystems auf, kann der Anästhesist vor Herausforderungen gestellt werden. Wir berichten über eine Patientin mit linksseitiger Pneumonektomie bei einem rechtsseitigen trachealen Bronchusabgang und stellen einen möglichen Lösungsweg des Airwaymanagements vor.
Abstract
One-lung ventilation is a standard procedure for many types of lung surgery. The anesthesiologist can be challenged if unknown anomalies of the bronchial tree occur. We report a patient with a tracheal bronchus on the right side presenting for left pneumonectomy, and present one possible solution to airway management.
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Literatur
Aoun NY, Velez E, Kenney LA et al (2004) Tracheal bronchus. Respir Care 49:1056–1058
Campos JH (2007) Which device should be considered the best for lung isolation: double-lumen endotracheal tube versus bronchial blockers. Curr Opin Anaesthesiol 20:27–31
Conacher ID (2000) Implications of a tracheal bronchus for adult anaesthetic practice. Br J Anaesth 85:317–320
Doolittle AM, Mair EA (2002) Tracheal bronchus: classification, endoscopic analysis, and airway management. Otolaryngol Head Neck Surg 126:240–243
Ghaye B, Szapiro D, Fanchamps JM et al (2001) Congenital bronchial abnormalities revisited. Radiographics 21:105–119
Gillon SA, Toufektzian L, Harrison-Phipps K et al (2016) Perioperative extracorporeal membrane oxygenation to facilitate lung resection after contralateral neumonectomy. Ann Thorac Surg 101:e71–3
Iannaccone G, Capocaccia P, Colloridi V et al (1983) Double right tracheal bronchus. A case report in an infant. Pediatr Radiol 13:156–158
Le ROUX BT (1962) Anatomical abnormalities of the right upper bronchus. J Thorac Cardiovasc Surg 44:225–227
Moon Y, Kim S, Park SW et al (2015) The implications of a tracheal bronchus on one-lung ventilation and fibreoptic bronchoscopy in a patient undergoing thoracic surgery. A case report. Can J Anesth/ J Can Anesth 62:399–402
Motsch J, Wiedemann K, Roggenbach J (2005) Atemwegsmanagement bei der Ein-Lungen-Ventilation. Anaesthesist 54:601–622
Wiser SH, Hartigan PM (2011) Challenging lung isolation secondary to aberrant tracheobronchial anatomy. Anesth Analg 112:688–692
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S. Kratz, S.G. Russo, M. Hinterthaner, M. Bauer und A. Bräuer geben an, dass kein Interessenkonflikt besteht.
Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.
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Kratz, S., Russo, S.G., Hinterthaner, M. et al. Trachealer Bronchusabgang und kontralaterale Pneumonektomie. Anaesthesist 65, 590–594 (2016). https://doi.org/10.1007/s00101-016-0201-4
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DOI: https://doi.org/10.1007/s00101-016-0201-4