İntraoperatif Dönemde Lateral Pozisyonda Çift Lümenli Tüp Entübasyonu

Toraks cerrahileri için sıklıkla kullanılan çift lümenli tüpler geniş çap ve kıvrımlı yapısı nedeni ile malpozisyon ile sonuçlanabilmekte supin pozisyon dışındaki bir hasta pozisyonunda uygulanması durumu daha komplike hale getirmektedir. Sol pnömotoraks nedeni ile entübe olarak acil torakotomiye alınan hastada intraoperatif dönemde kanama odağına ulaşabilmek için tek akciğer ventilasyonu (TAV) istendi. TAV’ın sağlanabilmesi için lateral pozisyonda laringoskopi yardımı ile gum elastik buji (GEB) kullanılarak başarılı bir şekilde çift lümenli tüp entübasyonu gerçekleştirildi. Bu olgu sunumu ile intraoperatif dönemde lateral pozisyonda tek lümenli endotrakeal tüp ile entübe olan vakada GEB yardımı ile başarılı çift lümenli tüp entübasyonunun sunulması amaçlandı.

Anahtar Kelimeler:

Lateral pozisyon, Çift lümenli tüp, Gum elastik buji

Double Lumen Tube Intubation in Lateral Position in the Intraoperative Period

structure, and their application in a patient position other than the supine position makes the situation more complicated. The intubated patient who scheculed emergency thoracotomy because of left pneumothorax. single lung ventilation (TAV) was requested in order to reach the bleeding focus in the intraoperative period. In order to provide TAV, double lumen tube intubation was successfully performed using a gum elastic bougie (GEB) with the aid of laryngoscopy in the lateral position. In this case report, it was aimed to present successful double-lumen tube intubation with the using of GEB in a case who was intubated with a single-lumen endotracheal tube in the lateral position during the intraoperative period.

Keywords:

Lateral position, Double lumen tube, Gum elatic bougie,

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