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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}


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
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  • 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.

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