Anaesthetic Management of Carinal Tumour Using Cross-table Ventilation

Vol 8 | Issue 1 | January-April 2022 | Page: 06-08 | Kavya Goel, Atul Bansal, Alok Basu Roy, Anurag Chaturvedi, Naveen Gupta

DOI: 10.13107/jaccr.2022.v08i01.193


Author: Kavya Goel [1], Atul Bansal [1], Alok Basu Roy [1], Anurag Chaturvedi [1], Naveen Gupta
[1]

[1] Department of Anaesthesia, Max Super Speciality Hospital, Vaishali, Uttar Pradesh, India.

Address of Correspondence
Dr. Kavya Goel,
Department of Anaesthesia, Max Super Speciality Hospital, Vaishali, Uttar Pradesh, India.
E-mail: goel.kavya@gmail.com


Abstract
This case report describes a rarely used and described technique of cross-table ventilation which was successfully used in a case of carinal reconstruction surgery for a patient diagnosed with a breast tumour and carinal adenocarcinoma. She was planned for left modified radical mastectomy and carinal and right main bronchus sleeve resection with carinal reconstruction. After resection of left bronchus, a sterile flexometallic endobronchial tube was inserted into the left main bronchus and a sterile circuit attached. Surgery was uneventful and patient extubated successfully on third postoperative day. The choice to not insert a double lumen tube and ensure best possible access to surgeon for a thorough removal of the tumour ended up providing the best outcome for the patient.
Keywords: Carinal tumour, cross-table ventilation, One lung ventilation


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How to Cite this Article: Goel K, Bansal A, Roy AB, Chaturvedi A, Gupta N | Anaesthetic Management of Carinal Tumour Using Cross-table Ventilation | Journal of Anaesthesia and Critical Care Case Reports | January-April 2022; 8(1): 06-08.

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