Sað Taraflý Çift Lümenli Tüp ile Sol Endobronþiyal Entübasyon

Tek akciðer ventilasyonu, torakal cerrahi giriþimler sýrasýnda genellikle uygulanan bir tekniktir. Bu olgu sunumunda, yeniden þekil verilen sað-taraflý çift lümenli tüp (ÇLT) ile gerçekleþtirilen sol endobronþiyal entübasyon uygulamasý sunuldu. Akciðer kanseri nedeniyle 60 yaþýnda erkek olguya sað üst lobektomi planlandý. Cerrahi giriþim günü uygun çapta sol-taraflý ÇLT’ün mevcut olmamasý nedeniyle, sað-taraflý ÇLT’ye iki kademeli manevra ile sol-taraflý ÇLT benzeri þekil verildi ve bu ÇLT kullanýlarak sol endobronþiyal entübasyon gerçekleþtirildi. Cerrahi giriþim sorunsuz tamamlandý. Olgu yoðun bakým ünitesine spontan solunumda transport edildi. Bir gün yoðun bakýmda kalan olgu daha sonra servise çýkarýldý.

Left Endobronchial Intubation with a Right-Sided Double Lumen Tube (A Case Report)

One-lung ventilation is a generally performed technique during thoracic surgical procedures. In this case report, left endobronchial intubation which was performed with a reshaped right-sided double lumen tube (DLT) was presented. Right upper lobectomy was planned for a 60-year-old man because of his pulmonary tumour. On the day of surgery, since an appropriate size of a left-sided DLT was not available in the operating room, right-sided DLT was reshaped like a left-sided one with a maneuver including two steps and left endobronchial intubation was performed with this reshaped right-sided DLT. The surgery was completed uneventfully. The patient was transferred to the intensive care unit while breathing spontaneously. He spent one day at the intensive care unit, then he was discharged to the ward.