İntraoperatif dönemde lateral pozisyonda çift lümenli tüp entübasyonu
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Date
2022-02-22
Authors
Yılmaz, Nezir
Journal Title
Journal ISSN
Volume Title
Publisher
Bursa Uludağ Üniversitesi
Abstract
Toraks cerrahileri için sıklıkla kullanılan çift lümenli tüpler geniş çap ve kıvrımlı yapısı nedeni ile malpozisyon ile sonuçlanabilmekte supin pozisyon dışındaki bir hasta pozisyonunda uygulanması durumu daha komplike hale getirmektedir. Sol pnömotoraks nedeni ile entübe olarak acil torakotomiye alınan hastada intraoperatif dönemde kanama odağına ulaşabilmek için tek akciğer ventilasyonu (TAV) istendi . TAV’ın sağlanabilmesi için lateral pozisyonda laringoskopi yardımı ile gum elastik buji (GEB) kullanılarak başarılı bir şekilde çift lümenli tüp entübasyonu gerçekleştirildi. Bu olgu sunumu ile intraoperatif dönemde lateral pozisyonda tek lümenli endotrakeal tüp ile entübe olan vakada GEB yardımı ile başarılı çift lümenli tüp entübasyonunun sunulması amaçlandı.
Double lumen tubes, which are frequently used for thoracic surgeries, may result in malposition due to their large diameter and curved structure, and their application in a patient position other than the supine position makes the situation more complicated. The intubated patient who scheculed emergency thoracotomy because of left pneumothorax. single lung ventilation (TAV) was requested in order to reach the bleeding focus in the intraoperative period. In order to provide TAV, double lumen tube intubation was successfully performed using a gum elastic bougie (GEB) with the aid of laryngoscopy in the lateral position. In this case report, it was aimed to present successful double- lumen tube intubation with the using of GEB in a case who was intubated with a single-lumen endotracheal tube in the lateral position during the intraoperative period.
Double lumen tubes, which are frequently used for thoracic surgeries, may result in malposition due to their large diameter and curved structure, and their application in a patient position other than the supine position makes the situation more complicated. The intubated patient who scheculed emergency thoracotomy because of left pneumothorax. single lung ventilation (TAV) was requested in order to reach the bleeding focus in the intraoperative period. In order to provide TAV, double lumen tube intubation was successfully performed using a gum elastic bougie (GEB) with the aid of laryngoscopy in the lateral position. In this case report, it was aimed to present successful double- lumen tube intubation with the using of GEB in a case who was intubated with a single-lumen endotracheal tube in the lateral position during the intraoperative period.
Description
Keywords
Lateral pozisyon, Çift lümenli tüp, Gum elastik buji, Lateral position, Double lumen tube, Gum elastic bougie
Citation
Yılmaz, N. (2022). "İntraoperatif dönemde lateral pozisyonda çift lümenli tüp entübasyonu". Uludağ Üniversitesi Tıp Fakültesi Dergisi, 48(1), 103-105.