Unexpected difficult intubation with a double-lumen tube in a case of asymptomatic vallecular cyst
PDF

Case Report

Unexpected difficult intubation with a double-lumen tube in a case of asymptomatic vallecular cyst

Turk J Anaesthesiol Reanim 2021;49(4):334-337 DOI: 10.5152/TJAR.2021.291
, , ,
PDF
Permissions

Abstract

Vallecular cyst (VC) can cause difficult intubation. If a double-lumentube (DLT) has to be placed, difficulty in tracheal intubation becomes more complicated. The gum elastic bougie (GEB) is a widely used device for facilitating tracheal intubation.However, there is not enough study with DLT to make a predictionfor success of GEB-guided intubation. Here, we aimed to describe our approach during unexpected difficult intubation due to VC in a patient required DLT insertion. We emphasize that, in case of confronting a patient with asymptomatic VC as a cause of difficult intubation, a successful DLT intubation is possible by sliding endobronchial lumen of DLT over pediatric GEB.

Keywords: Unexpected difficult intubation, vallecular cyst, double-lumen tube, gum bougie