Turkish Journal of Anaesthesiology & Reanimation

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


Department of Anesthesiology and Reanimation, Health Sciences University, Atatürk Chest Diseases and Thoracic Surgery Training and Research Hospital, Ankara, Turkey

Turk J Anaesthesiol Reanim 2021; 49: 334-337
DOI: 10.5152/TJAR.2021.291
Read: 166 Downloads: 70 Published: 01 August 2021

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.

Cite this article as: Tunc¸ M, Sazak H, Baldemir R, Alago¨z A. Unexpected Difficult Intubation with a Double-Lumen Tube in a Case of Asymptomatic Vallecular Cyst. Turk J Anaesthesiol Reanim. 2021; 49(4):334-337.

EISSN 2667-6370