Unusual case of difficult double-lumen endotracheal tube removal

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dc.contributor.author Yammine, Joseph N.
dc.contributor.author Yazbek-Karam, Vanda G.
dc.contributor.author Haswani, Roula W.
dc.contributor.author Karam, Hoda S.
dc.contributor.author Haddad, Walid M.
dc.contributor.author Youssef, Pierre S.
dc.date.accessioned 2019-05-02T13:22:19Z
dc.date.available 2019-05-02T13:22:19Z
dc.date.copyright 2009 en_US
dc.date.issued 2019-05-02
dc.identifier.issn 1873-4529 en_US
dc.identifier.uri http://hdl.handle.net/10725/10525
dc.description.abstract A reusable Robertshaw red rubber double-lumen endotracheal tube (DLT) was placed to facilitate lung isolation for thoracoscopy in a 49-year-old atopic patient. In spite of its smooth insertion, it was then not possible to remove the DLT. Direct laryngoscopy showed severe laryngeal edema. After 48 hours of medical treatment with steroids, the trachea was extubated. The laryngeal edema could have been the result of physical and chemical irritation by the reusable rubber DLT itself, or from the substances formed during repeated cleaning and sterilization of the DLT. Atopic patients who are prone to developing latex allergy are also more liable to develop severe reactions to chemical, mechanical, and physical irritation from reusable red rubber DLTs or from the chemical solution used for its cleaning and sterilization en_US
dc.language.iso en en_US
dc.title Unusual case of difficult double-lumen endotracheal tube removal en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 201004814 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Journal of Clinical Anesthesia en_US
dc.journal.volume 21 en_US
dc.journal.issue 7 en_US
dc.article.pages 514-516 en_US
dc.keywords Anesthesia complications en_US
dc.keywords Latex allergy en_US
dc.keywords One-lung ventilation en_US
dc.keywords Tracheal extubation en_US
dc.identifier.doi https://doi.org/10.1016/j.jclinane.2008.10.017 en_US
dc.identifier.ctation Yammine, J. N., Yatim, A., & Barbari, A. (2003). Radionuclide imaging in thoracic splenosis and a review of the literature. Clinical nuclear medicine, 28(2), 121-123. en_US
dc.author.email joseph.yammine@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://www.sciencedirect.com/science/article/pii/S0952818009002177#! en_US
dc.author.affiliation Lebanese American University en_US

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