Article Text

PDF
CASE REPORT
Iatrogenic tracheobronchial tear during paediatric thoracoscopic oesophageal repair: an anaesthetic challenge
  1. Pooja Bola Rajendra Devendra Kamath,
  2. Handattu Mahabaleswara Krishna,
  3. Lokvendra Budania and
  4. Anitha Nileshwar
  1. Department of Anaesthesiology, Kasturba Medical College , Manipal Academy of Higher Education, Manipal, Karnataka, India
  1. Correspondence to Dr Handattu Mahabaleswara Krishna, hmkrishna20032002{at}yahoo.com

Abstract

Iatrogenic tracheobronchial injury is rare. Limited data is available on such injuries in infants and management of these is challenging. We present a 7-month-old male infant who was diagnosed with oesophageal stricture, and was planned for thoracoscopic repair of the same. Anaesthetic management with a single lumen tracheal tube ensued. However, an intraoperative loss of capnogram and desaturation led to the diagnosis of iatrogenic tracheobronchial injury. After unsuccessful pursuits with a Fogarty catheter through the tracheobronchial tear and through the right bronchus for lung isolation, blind left endobronchial intubation with a smaller tube and one lung ventilation was successful. The rent was repaired by an open procedure, and oesophageal surgery completed. However, the child succumbed and died of multiorgan failure 3 days later.

  • Anaesthesia
  • Paediatrics
View Full Text

Statistics from Altmetric.com

Footnotes

  • Contributors PBRDK: collection of data, manuscript preparation, literature search. HMK: manuscript editing, review of articles, literature search. LB: review of manuscript, concept and design, review of articles. AN: review of manuscript, review of articles.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Guardian consent obtained.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.