Right Upper Lobe Atelectasis after Inadvertent Right Main Bronchial Intubation

Seto, Keitaro; Gotô, Hiroshi; Hacker, David C; Arakawa, Kasumi

doi:10.1213/00000539-198309000-00015

Cited by 9 publications

(2 citation statements)

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“…Pulmonary collapse may be caused by such factors as endobronchial intubation, mucus secretion plug, and bronchospasm ( 1 , 3 , 4 ). The most likely cause is endobronchial intubation, but it is unlikely that the tip of the tracheal tube was beyond the carina in this case because we checked its position via a chest X-ray.…”

Section: Discussionmentioning

confidence: 99%

Severe Respiratory Event Initially Thought to be Inadvertent Endobronchial Intubation: Possible Complications From Using of a Topical Metered-Dose of 8% Lidocaine Pump Spray

Arai¹,

Kawanishi²,

Sakakima³

et al. 2016

Anesth Pain Med

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IntroductionPulmonary collapse after intubation is common, and it is caused by a variety of factors.Case PresentationA 21-year-old man presented at our operation room to undergo an appendectomy. Except for a history of cigarette smoking, his history was negative. Anesthesia was induced with 100% oxygen and sevoflurane, remifentanil infusion, and propofol. Neuromuscular block was obtained with rocuronium. The tip and cuff of a tracheal tube were lubricated with a topical metered-dose of 8% Lidocaine pump spray. After intubation, SPO2 suddenly decreased. The chest x-ray revealed right upper lobe atelectasis. Fiber optic bronchoscopy showed that a large amount of yellow sticky mucus had been secreted into the right main bronchus.ConclusionsIn Japan, 8% Lidocaine pump spray contains menthol and ethanol as additives. These additives, particularly menthol, might have led to excessive mucus production, although we did not analyze the mucus secretion.

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Section: Discussionmentioning

confidence: 99%

Severe Respiratory Event Initially Thought to be Inadvertent Endobronchial Intubation: Possible Complications From Using of a Topical Metered-Dose of 8% Lidocaine Pump Spray

Arai¹,

Kawanishi²,

Sakakima³

et al. 2016

Anesth Pain Med

View full text Add to dashboard Cite

show abstract

“…Main stem bronchial intubation may obstruct the ipsilateral upper lobe in addition to the contralateral lung. 134,135 Infrequently, the right upper bronchus or one of its segmental bronchi branches from the lateral wall of the trachea (above the carina) and may be occluded by a properly positioned ETT.…”

Section: Equipment Malfunction a Mechanical Failure Of Anesthesia Apmentioning

confidence: 99%