Another potential respiratory complication during RALRP is endobronchial intubation
, with one study concluding that pneumoperitoneum, and not the Trendelenburg position, being the main risk factor for endotracheal tube migration (20).
Clinical manifestations of endobronchial intubation
or displacement of an endotracheal tube may be late, difficult to diagnose and lead to severe hypoxaemia due to significant ventilation-perfusion mismatch.
If a major bronchus is affected, then it is desirable to isolate the contralateral lung by endobronchial intubation of the unaffected bronchus with a cuffed tube, or if feasible, to use a double-lumen tube or a bronchial blocker (1,10).
Deliberate endobronchial intubation is well described (24), but care must be taken to choose a smaller tube than would be chosen for tracheal intubation in the same sized child (21).
Medical aids (oxygen metering system with masks, oxygen humidifiers, oxygen systems with nasal cannulas, respiratory filters, anesthetic masks, laryngeal masks, compact masks, kolostominiai sets, endobronchial intubation
Bilateral auscultation of the chest can be done to identify and prevent possible endobronchial intubation
A further 1 cm distal advancement resulted in greatly diminished left lung ventilation, confirming endobronchial intubation
Medical aids (oxygen metering system with masks, oxygen humidifier, oxygen nasal cannulas, with the system, respiratory filters, anesthetic masks, laryngeal masks, masks a compact, kolostominiai sets, endobronchial intubation
Selective endobronchial intubation
requires a smaller endotracheal tube than that which would be placed in the usual tracheal position.
On arrival, a right endobronchial intubation
Accidental endobronchial intubation
is reported frequently during laparoscopic gynaecological surgery.
An endotracheal tube cuff inflated within the tracheal stent was considered undesirable and placing the inflated cuff distal to the stent would have resulted in endobronchial intubation