What is it about?
Carbon dioxide insuffflation into the pleural cavity is a minimally invasive approach to surgery on the thoracic esophagus requiring double lumen tube insertion. This article focusses on an interesting finding of internal right bronchial lumen bulge following capnothorax due to pre-existing esophageal growth. This lead to abandoning of thoracoscopy for open thoracic surgery after fibreoptic confirmation of correct tube position.
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Why is it important?
A unique and rare experience of conducting a thoracic surgery (VATS) where repeated fibreoptic confirmation of double lumen tube position was done. This article suggests that capnothorax can hamper thoracoscopy by pressing of the esophageal growth on the bronchial wall.
Perspectives
Eternal vigilance during thoracic anesthesia for diagnosing and managing such difficult situations as well as proficiency in doing fibreoptic confirmation of double lumen tube placement.
Dr. Uma Hariharan
Dr Ram Manohar Lohia Hospital and PGIMER
Read the Original
This page is a summary of: Right main bronchus bulge after capnothorax for thoracoscopic esophagectomy: An interesting finding on fiber-optic bronchoscopy through a double lumen tube!, Annals of Cardiac Anaesthesia, January 2015, Medknow,
DOI: 10.4103/0971-9784.154501.
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