Simultaneous Visualization of an Iatrogenic Cuff Rupture in a Patient Intubated with a Video-Double Lumen Tube

VivaSightTM Video-Double Lumen Tube (V-DLT) is a new DLT with an embedded camera. It is connected to a monitor that continuously demonstrates the position of the tube relative to that of the carina. It is very effective for the rapid placement of the DLT. Additionally, it recognizes tube repositioning and maintains one-lung ventilation. There is no risk of contamination because it is disposable. Herein, we present the case of a patient where simultaneous visualization allowed the detection of an iatrogenic cuff rupture in a patient intubated with VivaSight V-DLT and the challenging anesthetic management following air leakage during remainder of the procedure.