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KMID : 1155520060010020144
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Anesthesia and Pain Medicine
2006 Volume.1 No. 2 p.144 ~ p.146
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Double-lumen Endotracheal Tube Insertion under Guiding of Peel-away Introducer - A case report -
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Ban So-Young
Kim Min-Soo
Keum Chang-Mahn
Nam Soon-Ho
Ryu Seung-Hun
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Abstract
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Intubation of a double-lumen endotracheal tube (DLT) can be more difficult than a single-lumen endotracheal tube in difficult airways. Peel-away? introducer is used in urological procedures.A 54-year- old man undergoing right lung lobectomy could not be intubated with a 37Fr DLT through conventional laryngoscopy due to absences of upper incisors.We intubated a single-lumen tube through lightwand (TrachlightTM).And then the distal portion of Peel-away? introducer was first inserted to the single-lumen tube, and we extubated the single-lumen tube.We tried to intubate a DLT under guiding of Peel-away? introducer, Peel-away? introducer was easily passed through the DLT.After removing of Peel-away? introducer, the position of the DLT was corrected by fiberoptic bronchoscope.We experienced successful DLT intubation using Peel-away? introducer in a patient with absences of teeth.(Anesth Pain Med 2006; 1: 144∼146)
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KEYWORD
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double-lumen endotracheal tube, Peel-away introducer.
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