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Tracheal Bronchus With Difficult Lung Isolation: New Case Report From IAA

Congratulations to IAA Anesthesiologists Dhamodaran Palaniappan, MD, Rabi k. Panigrahi, MD, and Daniel A. Friedlander, MD for their recent article publication titled: Tracheal Bronchus With Difficult Lung Isolation: A Case Report.

In this Case Report, implications of Tracheal bronchus (TB) for airway management and strategies for successful one-lung ventilation are reviewed and discussed. The recently published article was presented at the Seminars in Cardiothoracic and Vascular Anesthesia (SCV), Article Number: 1069243. on March 2022.

Abstract: Tracheal bronchus (TB) occurs in 0.1–3% of the population as an accessory bronchus that originates in the trachea, typically supplying the right upper lobe. The presence of TB can pose unique airway challenges, particularly during procedures that require lung isolation. Here, we describe a case of TB with difficult lung isolation. Careful examination with fiberoptic bronchoscopy permitted double lumen tube positioning without obstruction of the TB. A second case is presented where the presence of TB did not affect anesthetic management.

View the Case Report Abstract on Journals.sagepub.com >

  • DR. Dhamodaran Palaniappan, MD serves as the Director of Thoracic Anesthesia at Hartford Hospital, Site Director of UConn Anesthesiology Residency Program, and Associate Clinical Professor, University of Connecticut School of Medicine.
  • Dr. Rabi k. Panigrahi, MD, Cardiothoracic Anesthesiologist, is an Associate Clinical Professor at the University of Connecticut School of Medicine.
  • Dr. Daniel A. Friedlander, MD, is PGY4 Resident at UConn Anesthesiology
    Residency Program.

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Tracheal Bronchus With Difficult Lung Isolation: New Case Report From IAA

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