24 March 2018 : Case report
Pulmonary Artery Rupture Management with a Single Lumen Endotracheal Tube: Old Tricks that Should be Revisited
Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency careThanuja Neerukonda1EF*, William J. Gibson2BE, Travis Abicht2E, Andrew Sauer3BE, Brigid C. Flynn4ADEF
Am J Case Rep 2018; 19:342-346
BACKGROUND: Pulmonary artery rupture can be a lethal complication of a pulmonary artery catheter (PAC). Different techniques have been used to manage PAC-induced pulmonary artery rupture, including double lumen endotracheal tube (DLT), bronchial blockers, pulmonary artery embolization, thoracotomy with hematoma evacuation, and extracorporeal life support for ventilation (ECLS). Single lumen endotracheal tube (ETT) is not frequently reported in the literature despite its advantages.
CASE REPORT: The authors present a case of PAC-induced pulmonary artery rupture successfully managed with a single lumen ETT. Although single lumen ETT is more labor intensive and requires constant critical care attention, the advantages of this technique are reported in this case in comparison to other well-documented therapies.
CONCLUSIONS: With on-going pulmonary bleeding, a single lumen ETT intubation offers advantages to the commonly advocated methods of treating a PAC-induced pulmonary artery rupture.
Keywords: Bronchoscopes, Catheterization, Swan-Ganz, Critical Care, Hemoptysis
01 December 2021 : Case reportA 48-Year-Old Immunocompetent Female Resident of Southern Florida with Confirmed Reinfection with P.1 (Gamm...
Am J Case Rep In Press; DOI: 10.12659/AJCR.935329
26 November 2021 : Case reportArteritic Anterior Ischemic Optic Neuropathy in the Course of Giant Cell Arteritis After COVID-19
Am J Case Rep In Press; DOI: 10.12659/AJCR.933471
01 December 2021 : Case reportProgressive Pulmonary Fibrosis After Non-Critical COVID-19: A Case Report
Am J Case Rep 2021; 22:e933458
07 Dec 2021 : Case reportCombination of Adenomyoepithelioma and Adenoid Cystic Carcinoma of the Breast: A Case Report of an Uncommon...
Am J Case Rep In Press; DOI: 10.12659/AJCR.934391
07 Dec 2021 : Case reportA Rare Cause of Left Shoulder Pain in a Peritoneal Dialysis Patient
Am J Case Rep In Press; DOI: 10.12659/AJCR.933223
07 Dec 2021 : Case reportBRASH Syndrome: A Case Report
Am J Case Rep In Press; DOI: 10.12659/AJCR.934600
Most Viewed Current Articles
15 Aug 2020 : Case reportA 57-Year-Old African American Man with Severe COVID-19 Pneumonia Who Responded to Supportive Photobiomodul...
Am J Case Rep 2020; 21:e926779
09 May 2019 : Case reportA Rare Case of Stage IV Basaloid Squamous Cell Cancer with Intrapulmonary and Brain Metastases
Am J Case Rep 2019; 20:664-667
13 Mar 2019 : Case reportDry Beriberi Due to Thiamine Deficiency Associated with Peripheral Neuropathy and Wernicke’s Encephalopathy...
Am J Case Rep 2019; 20:330-334