| Case Report: Left Mainstem Bronchial Intubation at an Extremely Short Incisor-to-Carina Distance in a Patient with Severe Ascites. | |
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MedLine Citation:
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PMID: 21156976 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Unintentional left mainstem bronchial intubation after direct laryngoscopy is less common than unintentional right mainstem bronchial intubation, having only been referenced 3 times outside of the anesthesia literature. We report a case of unintentional left mainstem intubation at an extremely short incisor-to-carina distance. We hypothesize that the left mainstem intubation occurred because of a distortion of the anatomy of the tracheal bifurcation, caused by the patient's severe ascites, hepatomegaly, and collapsed right lower lobe, thus creating a shallower angle of the left mainstem bronchus from midline. The short incisor-to-carina distance can be explained by ascites-induced cephalad shift of the mediastinum. |
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Authors:
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Alyssa B Brzenski; Jonathan L Benumof |
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Publication Detail:
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Type: Journal Article Date: 2010-12-14 |
Journal Detail:
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Title: Anesthesia and analgesia Volume: 112 ISSN: 1526-7598 ISO Abbreviation: Anesth. Analg. Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-01-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1310650 Medline TA: Anesth Analg Country: United States |
Other Details:
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Languages: eng Pagination: 445-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesiology, UCSD Medical Center, 402 Dickinson St., Suite 2-224, San Diego, CA 92103-8812. jbenumof@ucsd.ed. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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