Unilateral postobstructive pulmonary edema following double-lumen endobronchial tube intubation

Herein, we report a male patient underwent a video-assisted thoracoscopic resection of left lower lobe intralobar bronchopulmonary sequestration that developed unilateral postobstructive pulmonary edema following double-lumen endobronchial tube intubation. Pulmonary edema subsided after receiving po...

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Bibliographic Details
Published in:Respiratory medicine CME 2008, Vol.1 (2), p.93-95
Main Authors: Boonsarngsuk, Viboon, Kiatboonsri, Sumalee, Suwatanapongched, Thitiporn
Format: Article
Language:English
Subjects:
Anesthesiology ventilation
Pulmonary edema
Thoracic surgery
Upper airways
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Summary:Herein, we report a male patient underwent a video-assisted thoracoscopic resection of left lower lobe intralobar bronchopulmonary sequestration that developed unilateral postobstructive pulmonary edema following double-lumen endobronchial tube intubation. Pulmonary edema subsided after receiving positive pressure ventilation at positive end-expiratory pressure of 5 cm H 2O and the patient was extubated 24 h later. To prevent this complication, correct placement of the tube should be assessed by auscultation during intermittent ventilation of each lung and fiberoptic bronchoscope should always be performed through both tracheal and bronchial lumens after intubation.
ISSN:1755-0017
1755-0017
DOI:10.1016/j.rmedc.2007.12.003