Journal of Clinical Anesthesia
Volume 21, Issue 7 , Pages 514-516 , November 2009

Unusual case of difficult double-lumen endotracheal tube removal

  • Vanda G. Yazbek-Karam, MD (Clinical Associate)

      Affiliations

    • Department of Anesthesiology, Rizk Hospital, Beirut, Lebanon
    • Department of Anesthesiology, American University of Beirut Medical Center, P.O. Box 110236, Beirut, Lebanon
    • ,
  • Roula W. Haswani, MD (Staff Anesthesiologist)

      Affiliations

    • Department of Anesthesiology, Rizk Hospital, Beirut, Lebanon
    • ,
  • Hoda S. Karam, MD (Staff Anesthesiologist)

      Affiliations

    • Department of Anesthesiology, Rizk Hospital, Beirut, Lebanon
    • ,
  • Walid M. Haddad, MD (Staff Anesthesiologist)

      Affiliations

    • Department of Anesthesiology, Rizk Hospital, Beirut, Lebanon
    • ,
  • Pierre S. Youssef, MD (Staff Surgeon)

      Affiliations

    • Department of Surgery, Rizk Hospital, Beirut, Lebanon
    • ,
  • Boutros F. Hachem, MD (Staff Surgeon)

      Affiliations

    • Department of Surgery, Rizk Hospital, Beirut, Lebanon
    • ,
  • Fouad T. Atik, MD (Staff Surgeon)

      Affiliations

    • Department of Surgery, Rizk Hospital, Beirut, Lebanon
    • ,
  • Simon J. Rassi, MD (Staff Surgeon)

      Affiliations

    • Department of Surgery, Rizk Hospital, Beirut, Lebanon
    • ,
  • Joseph N. Yammine, MD (Staff Surgeon)

      Affiliations

    • Department of Surgery, Rizk Hospital, Beirut, Lebanon
    • ,
  • Anis S. Baraka, MD (Professor and Chairman)

      Affiliations

    • Department of Anesthesiology, American University of Beirut Medical Center, P.O. Box 110236, Beirut, Lebanon
    • ,
  • Marie T. Aouad, MD (Associate Professor)

      Affiliations

    • Department of Anesthesiology, American University of Beirut Medical Center, P.O. Box 110236, Beirut, Lebanon
    • Corresponding Author InformationCorresponding author. Tel.: +961 1 350 000x6380; fax: +961 1 744 464.

Received 13 October 2007 ,Revised 13 October 2008 ,Accepted 30 October 2008.

References 

  1. Langeron O, Amour J, Vivien B, Aubrun F. Clinical review: management of difficult airways. Crit Care. 2006;10:243
  2. Akers JA, Riley RH. Failed extubation due to a sutured double lumen tube. Anaesth Intensive Care. 1990;18:577
  3. Dryden GE. Circulatory collapse after pneumonectomy (an unusual complication from the use of a Carlens catheter): case report. Anesth Analg. 1977;56:451–452
  4. Probert DJ, Hardman JG. Failed extubation of a double lumen tube requiring a cricoid split. Anaesth Intensive Care. 2003;31:584–587
  5. Adhikary SD, Krishnan BS. Unusual effect in a double-lumen endotracheal tube. Anesth Analg. 2006;103:1594–1595
  6. Guess WL. Rubber for tracheal tubes. Int Anesthesiol Clin. 1970;8:815–821
  7. Niehaus HH, Enzmann H. Contact allergy-induced tracheal stenosis caused by vulcanization accelerators in the endotracheal tube?. HNO. 1995;43:446–449
  8. Dorsch JA, Dorsch SE. In: Understanding anesthesia equipment: construction, care and complications. Baltimore: Williams and Wilkins; 1979;p. 282–300
  9. Stetson JB, Guess WL. Causes of damage to tissues by polymers and elastomers used in the fabrication of tracheal devices. Anesthesiology. 1970;33:635–652
  10. Ho LI, Harn HJ, Lien TC, Hu PY, Wang JH. Postextubation laryngeal edema in adults. Risk factor evaluation and prevention by hydrocortisone. Intensive Care Med. 1996;22:933–936
  11. Dark A, Armstrong T. Severe postoperative laryngeal oedema causing total airway obstruction immediately on extubation. Br J Anaesth. 1999;82:644–646
  12. Burkle CM, Walsh MT, Pryor SG, Kasperbauer JL. Severe postextubation laryngeal obstruction: the role of prior neck dissection and radiation. Anesth Analg. 2006;102:322–325
  13. Levy JH. The allergic response. In:  Barash PG,  Cullen BF,  Stoelting RK editor. Clinical anesthesia. 4th ed.. Philadelphia: Lippincott Williams and Wilkins; 2001;p. 1297–1309

PII: S0952-8180(09)00217-7

doi: 10.1016/j.jclinane.2008.10.017

Journal of Clinical Anesthesia
Volume 21, Issue 7 , Pages 514-516 , November 2009

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