Successful double lumen tube insertion in a patient with unanticipated laryngeal and tracheal web

• Main Authors: Virmani Sanjula, Uppal Rajeev, Kiro Kiranlata, Bhandari Hricha, Dutta Devesh, Singh Nawab, Aggarwal Anil
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2011-01-01
• Series: Annals of Cardiac Anaesthesia
• Subjects: Difficult intubation; double lumen tube; laryngeal and tracheal webs
• Online Access: http://www.annals.in/article.asp?issn=0971-9784;year=2011;volume=14;issue=3;spage=211;epage=213;aulast=Virmani
• ISSN: 0971-9784; 0974-5181

A 45-year-old female patient admitted for surgical management of carcinoma esophagus, presented with difficulty in insertion of left-sided 37 F and 35 F double lumen tube (Mallinckrodt^® Broncho-Cath). Fiberoptic bronchoscopy revealed a subglottic web in the larynx just below the vocal cords and a tracheal web just above the carina. Differential lung ventilation could be achieved with a 35 F internal diameter double lumen tube (Portex^® Blueline^® Endobronchial tube).