GKD Anest Yoð Bak Dern Derg. 2013; 19(1): 45-48 | DOI: 10.5222/GKDAD.2013.045

Çift Lümenli Tüple Yapýlan Endobronþiyal Entübasyona Baðlý Bronþiyal Rüptür

Burhan Dost¹, Sami Karapolat², Ýlknur Suidiye Þeker¹, Ali Kýlýçgün³, Ömür Öztürk¹, Onur Özlü^1
1Düzce Üniversitesi Týp Fakültesi, Anesteziyoloji Ve Reanimasyon Anabilim Dalý, Düzce
²Düzce Üniversitesi Týp Fakültesi, Göðüs Cerrahisi Anabilim Dalý, Düzce
³Abant Ýzzet Baysal Üniversitesi Týp Fakültesi, Göðüs Cerrahisi Anabilim Dalý, Bolu

Giriþ: Postentübasyon trakeobronþiyal rüptür nadir görülen ciddi bir komplikasyondur.
Olgu sunumu: 50 yaþýndaki kadýn olguda nefes darlýðý ve göðüs aðrýsý þikâyetlerine neden olan sað hemidiyafragma elevasyonu saptanmýþ ve diyafragma pilikasyonu amacýyla sað torakotomi yapýlmýþtýr. Sol çift lümenli endobronþiyal entübasyon tüpü ile entübe edilen olguda operasyon esnasýnda mediastinal amfizem geliþmiþ ve sol ana bronþ membranöz kýsmýnda rüptür saptanmýþtýr. Bronþiyal rüptürün primer olarak tamir edildiði olgu postoperatif 8. günde sorunsuz olarak taburcu edilmiþtir.
Sonuç: Çift lümenli endobronþiyal entübasyon tüpleri ile yapýlan entübasyonlarda tüp ucu vokal kordlarý geçer geçmez stilenin çýkarýlmasý rüptür riskini azaltacaktýr. Bu olgularda perioperatif taný ve erken primer tamir ile olumlu sonuçlar alýnmaktadýr.

Anahtar Kelimeler: Çift lümenli endobronþiyal tüp, Bronþ rüptürü, Stile; Primer tamir

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Bronchial Rupture Due to Endobronchial Intubation with Double-Lumen Tube

Burhan Dost¹, Sami Karapolat², Ýlknur Suidiye Þeker¹, Ali Kýlýçgün³, Ömür Öztürk¹, Onur Özlü^1
1Duzce University School Of Medicine, Department Of Anesthesiology And Reanimation, Düzce, Turkey
²Duzce University School Of Medicine, Department Of Chest Surgery, Düzce, Turkey
³Abant Izzet Baysal University School Of Medicine, Department Of Chest Surgery, Bolu, Turkey

Introduction: Postentubation tracheobronchial rupture is a rare serious complication.
Case report: In a case of 50 years-old woman, right diaphragmatic elevation causing dyspnea and chest pain complaints was found and right thoracotomy was applied for diaphragm plication. In the case entubated with left side endobronchial intubation tube, mediastinal emphysema occurred during the operation and rupture was found in membranous part of the left main bronchi. Bronchial rupture was repaired primary and the patient was discharged without any complications on the 8th day of postoperative.
Conclusion: Taking out style as soon as the tip of the tube passes vocal cords will lower the risk of rupture in the intubations with double lumen endobronchial tubes. In such cases positive results are found with perioperative diagnosis and early primary repair.

Keywords: Double lumen endobronchial tube, Bronchial rupture, Stylet; Primary repair

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ATIF KOPYALA