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VOLUME 20 , ISSUE 5 ( 2016 ) > List of Articles

CASE REPORT

A rare complication of tracheal intubation

Wan Fadzlina Wan Muhd Shukeri, Wan Mohd Nazaruddin Wan Hassan, Chandran Nadarajan

Keywords : Endobronchial intubation, left main bronchus intubation, right main bronchus intubation

Citation Information : Shukeri WF, Hassan WM, Nadarajan C. A rare complication of tracheal intubation. Indian J Crit Care Med 2016; 20 (5):299-301.

DOI: 10.4103/0972-5229.182209

License: CC BY-ND 3.0

Published Online: 01-05-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Accidental endobronchial intubation is a frequent complication in critically ill patients requiring tracheal intubation (TI). If such complication occurs, it is more often the right main bronchus that is intubated due to anatomical reasons. Left main bronchus (LMB) intubation is rare. Here, we report a case with auscultatory, bronchoscopic, and radiographic evidence of accidental LMB intubation in a pregnant woman with dengue shock syndrome. We highlight this case to increase awareness about this possible-but-rare complication of TI.


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  1. Wirtz DD, Ortiz C, Newman DH, Zhitomirsky I. Unrecognized misplacement of endotracheal tubes by ground prehospital providers. Prehosp Emerg Care 2007;11:213-8.
  2. Timmermann A, Russo SG, Eich C, Roessler M, Braun U, Rosenblatt WH, et al. The out-of-hospital esophageal and endobronchial intubations performed by emergency physicians. Anesth Analg 2007;104:619-23.
  3. Bissinger U, Lenz G, Kuhn W. Unrecognized endobronchial intubation of emergency patients. Ann Emerg Med 1989;18:853-5.
  4. Brzenski AB, Benumof JL. Left mainstem bronchial intubation at an extremely short incisor-to-carina distance in a patient with severe ascites. Anesth Analg 2011;112:445-7.
  5. Ribeiro BJ. Inadvertent intubation of the left mainstem bronchus. Am J Emerg Med 1993;11:33-4.
  6. Blaivas M, Tsung JW. Point-of-care sonographic detection of left endobronchial main stem intubation and obstruction versus endotracheal intubation. J Ultrasound Med 2008;27:785-9.
  7. Saunders CE, Sedman AJ. Left mainstem bronchus intubation. Am J Emerg Med 1984;2:406-7.
  8. Kitamura S, Kawano T, Yokoyama M. Accidental left bronchial intubation with Parker Flex-Tip Tube. Masui 2013;62:678-81.
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