Anesthesia for patients with tracheal bronchus

Lai, K.M.; Hsieh, Ming-Hui; Lam, Fai; Chen, C.Y.; Chen, T.L.; Chang, Chuen Chau

doi:10.1016/j.aja.2017.09.002

Cited by 17 publications

(22 citation statements)

References 4 publications

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“…Obstruction of TB due to distal placement of endotracheal tube is a conceivable problem. [17,18] Patients with TB incidentally detected on CT images should be informed to prevent probable anesthesia complications in future. 'One lung ventilation' is an anesthesia procedure commonly performed in thoracic surgery and video assisted thoracoscopic surgery.…”

Section: Resultsmentioning

confidence: 99%

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Tracheal Bronchus; A Computed Tomography Study

Çelebioğlu

Çalişkan

Akkaşoğlu

et al. 2020

Journal of Contemporary Medicine

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Amaç: Bu çalışmanın amacı, popülasyonumuzdaki Trakeal Bronkusları (TB) tespit etmek ve sınıflandırmaktır. Gereç ve Yöntem: Bu retrospektif çalışmaya farklı nedenlerle torasik BT çektiren toplam 1500 hasta dahil edildi. 12 bireyde TB tespit edildi. TB'li 12 hastanın; beşi erkek, yedisi kadındı. TB prevalansı %0,8 bulundu. Kadınlarda (% 58,3) erkeklerden (% 41,7) daha sık tespit edildi. Bulgular: TB'lu 12 bireyin yedisinde displaced tip (% 58.3), ikisinde supernumarary tip (% 16.7) ve üçünde pig tip (% 25) bronkus vardı.Displaced tip kadınlar arasında en yaygın olanıdıydı. Beş erkekten ikisinde displaced tip, ikisinde pig tip, birinde supernumerary tip görüldü. Cinsiyet ve tip arasındaki ilişki istatistiksel olarak anlamlı bulunmadı (p = 0.516). TB'nin ortalama çapı 5.24 ±1.53 mm idi. Displaced ve pig bronkus tipleri arasındaki çapa göre fark istatistiksel olarak anlamlıydı (p = 0,017). Bu çalışmada ayrıca carina ve TB arasındaki mesafe de ölçüldü. Displaced tip ile pig bronkus tiplerinin carina'ya olan mesafeleri açısından fark yoktu (p = 0.067).Sonuç: TB'nin tanınması endotrakeal entübasyonda kritik öneme sahiptir. TB, tüpün yan yüzü tarafından tıkandığında, lob kollapsa uğrayabilir. Diğer yandan, yanlışlıkla entübe edildiğinde, aşırı havalanma sonucu pnömotoraks oluşabilir. Abstract ÖzEmre Can ÇELEBİOĞLU1, Selma ÇALIŞKAN2, Sinem AKKAŞOĞLU2, Hilal Göktürk Nakkaş3, İbrahim Tanzer SANCAK4Aim: The aim of the study recognize and classify the Tracheal Bronchus (TB) in our population. Material and Method:A total of 1500 patients who underwent thoracic Computed Tomography (CT) examination for different reasons were enrolled in this retrospective study. 12 patients with TB were reported. Of the 12 patients with TB; five were males and seven were females. Prevalence of TB was found to be 0.8%. It was indicated more frequently in women (58.3%) than in men (41.7%). Results:Of the 12 patients with TB seven had displaced type (58.3%), two had supernumerary type (16.7%) and three had pig bronchus (25%). Displaced type was most common among the females. Of the five males two had displaced type, two had pig bronchus and one had supernumerary type. Relation between gender and type was not found to be statistically significant (p=0.516). The mean diameter of the TB was 5.24±1.53 mm. Difference between displaced and pig bronchus types according to diameter is statistically significant (p=0.017). Distance between carina and TB was also measured in the present study. There was no difference between displaced type and pig bronchus type according to distance from carina (p=0.067). Conclusion:Recognizing the TB is critically important during endotracheal intubation. When the TB is occluded by the side of the tube the lobe may collapse. On the other hand when it is mistakenly intubated, over aeration may lead pneumothorax.

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Section: Resultsmentioning

confidence: 99%

“…[6] This study will contribute to literature and will serve data of incidence to anesthesiologists in our country. Lai et al [18] suggest that TB is an asymptomatic entity which is incidentally diagnosed on CT. They also argue that TB causes recurrent infections and respiratory distress especially in children.…”

Section: Resultsmentioning

confidence: 99%

Tracheal Bronchus; A Computed Tomography Study

Çelebioğlu

Çalişkan

Akkaşoğlu

et al. 2020

Journal of Contemporary Medicine

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“…In the setting of TB, it is worth mentioning that endotracheal intubation merits special consideration. Misplacement of the endotracheal tube can occlude the TB lumen, resulting in atelectasis, hypoxia, or even respiratory insufficiency [14,15]. Hence, knowledge of TB anatomy is essential perioperatively to take the necessary precautionary measures and avoid complications [2,16].The diagnosis of TB can be achieved through high-resolution CT scans of the chest or by bronchoscopy [5,7].…”

Section: Discussionmentioning

confidence: 99%

Tracheal Bronchus and Associated Anomaly Prevalence Among Children

Al-Naimi

Hamad

Abushahin

2021

Cureus

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“…Tracheal bronchus was first described in 1785. 2 The right upper lobe bronchus normally originates approximately 1-3 cm distal to the carina. In the current patient, it arose from the right lateral wall of the trachea at a distance of <1 cm proximal to the carina.…”

Section: Discussionmentioning

confidence: 99%

Airway and Anaesthetic Challenges in a Child With Bronchus Suis and Superimposed Double Aortic Arch

Kuriakose

Al-Ismaili

Raniga

et al. 2021

Sultan Qaboos Univ Med J

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Bronchus suis or tracheal bronchus is an accessory bronchus arising from the trachea above the carina. Double aortic arch is a congenital vascular anomaly with persistence of both left and right aortic arches beyond fetal life which can form a vascular ring compressing the major airways and may be symptomatic. We report the case of a 16-month-old girl who had recurrent episodes of respiratory distress requiring multiple hospitalisations and was diagnosed at the Sultan Qaboos University Hospital, Muscat, Oman in 2019 with a double aortic arch compressing upon a tracheal bronchus causing symptomatic emphysema of the right upper lobe. This report presents anaesthetic and airway challenges during the patient’s lobectomy. A single lumen cuffed endotracheal tube was successfully used as a bronchial blocker to occlude the origin of the aberrant bronchus. The position of the tube was confirmed intraoperatively using fibreoptic bronchoscopy. Following her discharge, she continued to have recurrent episodes of respiratory distress and three months after her last appointment she succumbed to her illness. To the best of the authors’ knowledge, this is the first such reported case in Oman. KEYWORDS Bronchus; Trachea; Aortic Arch; Endotracheal Intubation; Bronchoscopy; Anesthesia; Lobar Pneumonia; Oman.

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Anesthesia for patients with tracheal bronchus

Cited by 17 publications

References 4 publications

Tracheal Bronchus; A Computed Tomography Study

Tracheal Bronchus; A Computed Tomography Study

Tracheal Bronchus and Associated Anomaly Prevalence Among Children

Airway and Anaesthetic Challenges in a Child With Bronchus Suis and Superimposed Double Aortic Arch

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