Trapped in the Tube: A Minute of Alertness of Anaesthetist and Surgeon during Pneumonectomy Can Prevent Surgeon?s Double Grind
Abstract: Introduction: Double lumen tubes (DLTs) are necessary for lung isolation in thoracic surgeries. DLTs are cumbersome to insert and maintain during surgeries. Complications associated with DLTs, such as suction catheter entrapment, are rare but can lead to significant intraoperative challenges for surgeon as well as anaesthesiologist. Case Report: A 53 - year - old male with carcinoma of the left lung underwent left pneumonectomy under general anesthesia (GA) with a left - sided DLT for lung isolation. During the procedure, the suction catheter became stuck in bronchial staple line, found to be inadvertently stapled to the left mainstem bronchus. The staple was carefully cut, the catheter released, and the bronchus was repaired. The patient was managed successfully without postoperative complications and extubated uneventfully on postoperative day 1. Discussion: This case highlights a rare complication involving DLTs and emphasizes the importance of vigilance by anesthesiologists during thoracic surgeries. Conclusion: Anesthesiologists play a censorius role in identifying and early managing such complications, which underscores the need for interdisciplinary coordination and careful handling of airway devices. Surgeons and Anaesthesiologists communication in important in prevention of such complications.
Keywords: double lumen tube, lung carcinoma, suction catheter entrapment, left pneumonectomy
How to Cite?: Dr. Rupali Das, Dr. Rajneender Sharma, Dr. Panchal Bhrantiben Dipakkumar, Dr. Quresh Bambora, Dr. Vitasta Raina, "Trapped in the Tube: A Minute of Alertness of Anaesthetist and Surgeon during Pneumonectomy Can Prevent Surgeon?s Double Grind", Volume 14 Issue 2, February 2025, International Journal of Science and Research (IJSR), Pages: 1507-1508, https://www.ijsr.net/getabstract.php?paperid=MR25225104506, DOI: https://dx.doi.org/10.21275/MR25225104506