Use of Univent tube for intermittent lung isolation during thoracoscopic mediastinal tracheal resection and reconstruction: A case report. Issue 50 (December 2017)

• Record Type: Journal Article
• Authors: Zhang, Yabing; Xin, Juan; Ma, Ye; Li, Qian; Liu, Bin
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 96:Issue 50(2017)
• Publication Date: 2017-12
• Subjects: 1-lung ventilation -- airway -- carcinoma -- tracheal neoplasms -- Univent tube -- video-assisted thoracic surgery; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000008945
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Primary tracheal adenoid cystic carcinoma of the trachea primary is a rare neoplasm and commonly misdiagnosed. Lung isolation during surgery and ventilation pose a tremendous challenge to anesthesiologists. Patient concerns: The authors describe a novel technique of lung isolation and ventilation with a Univent tube during thoracoscopic mediastinal tracheal resection and reconstruction in a female patient. Diagnoses: Primary tracheal adenoid cystic carcinoma, nonsmall cell carcinoma. Interventions: In this case, tracheal resection and reconstruction were performed. A bronchial blocker of the Univent tube was used as a guide to manipulate the depth of endotracheal tube. Outcomes: The intermittent 1-lung ventilation was established successfully. The patient recovered uneventfully and discharged after 10 days. Lessons: The advantages of approach include a stable airway management without occupying the contracted space of thoracoscope and no potential risk of trapping or barotraumas.