Article type :
Case Report
Author :
Amit Bodkhe, Hemant Bhirud, Sanjay Upadhye, Meghana Nadkarni, Chitra Pitale, Avanti Purohit
Volume :
7
Issue :
2
Abstract :
Surgery is one of the curative treatments for patients with tracheobronchial tumours. And endoscopic
debridement is one of the palliative therapies for unresectable tumour. Respiratory distress is the
commonest complication that can occur in both the procedures. We present the case of 25 year old patient
of adenoid cystic carcinoma of lower trachea and left bronchus. He had respiratory distress after induction
of anaesthesia which was managed successfully with one lung anaesthesia with single lumen endobronchial
tube. It was inoperable tumour and after endobronchial debridement he had episode of tumour embolism to
oppossite bronchus causing respiratory distress. This was detected immediately and managed successfully
with flexible bronchoscopy.
Keyword :
Endobronchial tumour embolism, Tracheobronchial tumour, One lung anaesthesia, Respiratory distress.