Anaesthetic Management for Excision of Right Apical Carcinoma of Lung Encroaching in Thoracic Spine

Abstract

Airway management in thoracic surgeries is usually more difficult than in any other surgery. One Lung Ventilation (OLV) can be achieved for thoracic surgeries using various approaches like Double Lumen Tube (DLT), Bronchial Blockers (BB) and endobronchial tube. In BB, the procedure needs more precaution because of proneness to movement and displacement than DLT. In case of endobronchial tube, it is impossible to perform bronchoscopy, suction and Continuous Positive Airway Pressure (CPAP) for isolated lung. The present case report is of a 40-year-old male patient, who presented with right intrathoracic tumour encroaching thoracic segment of spinal cord and underwent excision of tumour through thoracotomy and laminectomy approach. Left-sided 37 French DLT was used to achieve OLV. After placing DLT the proper placement was evaluated by bronchoscope.

Keywords

• bronchial blocker
• bronchoscope
• double lumen tube
• one lung ventilation
• thoracic surgeries